Why are patients put on ventilators? | What to do if milk does not come during childbirth?

Why are patients put on ventilators?

When someone tells us such news, 'So-and-so has been put on ventilator', our hearts get cold. "Do you have to put him on the ventilator?" we ask ourselves to convince ourselves.

What exactly is a ventilator? In which case the patient is kept on ventilator? Will the patient on ventilator return to normal? Such curiosity keeps us restless.

Senior thoracic specialist of the University Teaching Hospital, Dr. Dr. Niraj Bomb says.

A ventilator is a machine for artificial respiration. It is also called a mechanical ventilator because it operates mechanically,'' he says. In this way, the work of a health system is done by a machine.

The job of the lungs is to take in oxygen and expel carbon dioxide. But if the airways become narrowed and pneumonia occurs, the person faints, food gets stuck in the airway, paralysis occurs or heart attack and breathing is not done properly, Dr. Bam says.

There are different modes of ventilators – Involuntary/Control Ventilation (AC), Pressure Support Ventilation (PSV) and Synchronized Intermittent Mandatory Ventilation (SIMV). Which artificially moves the lungs and delivers the required amount of oxygen to the body. The carbon dioxide in the body is expelled.

What happens after being put on a ventilator?

If there is an infection in the lungs or asthma, the lungs are not able to function properly. At this time, the patient is put on a ventilator and artificially breathed. Gradually, the lung infection is controlled and various respiratory problems get better. After the lungs get rest for some time, it gradually does its work and the support of the ventilator is gradually reduced and stopped. He says that the bomb will be removed from the ventilator when the lungs start working on their own.

It is not possible to say exactly how many days he will be kept on the ventilator. Until the lungs can do their job properly, they should be kept on the ventilator," he says. "If there is an infection in the lungs, if the patient is kept on the ventilator, the lungs will get rest while the ventilator is working."

After treating the problem in the lungs and the lungs start to function properly, the support of the ventilator is reduced and removed.

How long to return to normal?

A young person who has been in an accident and is in an unconscious state will quickly return to normal when placed on a ventilator. But the body of elderly people with respiratory diseases who have been kept on oxygen for a long time at home has become weak.

Such people may have to be kept on a ventilator for a long time. In some cases, infection can even lead to death.

Problems seen in ventilator-adjusted patients

Dr. who may develop problems later in patients who are on ventilators. Bam says. It depends on the reason why the patient went to the ventilator. If the patient is on the ventilator due to chronic diseases like asthma and heart disease, the problem may appear again," he says. "A young man has been put on the ventilator due to an accident. If all his organs function properly after treatment, he should not go on the ventilator again."

The problem can be determined by looking at the structure of the body and the nature of the disease. Some patients who were treated with ventilators during the corona virus had problems later, while others did not. Bam says.

"In 10 to 15 percent of patients, there is a possibility of ventilator-borne infection, especially pneumonia," he says.

What to do if milk does not come during childbirth?

There is a universal saying, 'Mother's milk is like nectar for babies.' Therefore, when there is no other food for newborns, mother's milk is the complete food for them. But what if the mother's milk does not come after delivery?

Along with this, another thing can be added here, breastfeeding is beneficial not only for the baby but also for the mother.

Lack of milk during delivery

There may be a problem of lack of milk in the mother when the baby is born by surgery or caesarean section than normal delivery. However, such a problem can also occur in mothers who have had a normal delivery.

Why is milk not coming?

There is not just one reason for milk not coming in. There are many reasons. As soon as the baby is born, the hormone called 'Oxytoxin' is activated when the mother sucks the milk. Along with that, the hormone that produces milk is also released.

The flow of milk occurs especially from the third day after birth. Therefore, there may be a problem of less milk supply on the first and second day. A woman who has become a mother for the first time does not get milk if she does not know how to breastfeed properly.

Even if the baby does not suckle the mother's milk immediately after delivery, the milk may come late or not at all. There are small holes in the udder for milk to come, even if that hole is removed, milk will not come.

To produce milk daily, the mother needs more junk food, more nutritious food and other nutritious food than usual. During pregnancy and delivery, there is a problem of lack of milk even if the diet is not taken care of and the pregnant woman does not get a nutritious diet.

Breastfeeding difficulties

In some cases, there is a problem of not producing milk due to the lack of hormones that produce milk. Some people have an 'inverted' udder, even if the udder is small or inverted, there is a problem of milk not coming out and feeding is difficult. It is also difficult to breastfeed when there is a wound in and around the nipple.

Problems for the baby and the mother when not breastfeeding

If the baby is not able to feed the mother's milk, both the mother and the baby may have problems. Mother's milk contains all the nutrients needed by the baby. Which increases the immunity of children.

If the child is not able to eat mother's milk, his ability to fight disease is reduced. If the baby is not fed with breast milk, the mother may also be at risk of milk retention and breast cancer.

The child does not eat milk

If milk does not come in during labor, it will not have much effect in the long run. But mother's milk contains 'immunoglobulin', which increases the ability to fight disease. Those who have not been able to eat mother's milk have weak immunity. The physical and mental development of the child is also not going well.

When a mother feeds her baby, their relationship also deepens emotionally.

option

Since there are various reasons for non-flow of milk, the problem of non-flow of milk should be treated by going to the hospital. A milk bank has been launched in the maternity hospital as an alternative for those in Kathmandu valley who are not getting milk. You can also take milk from there and give milk to the baby.

What to do to get milk?

If milk does not come due to lack of balanced and nutritious food, attention should be paid to diet. Foods like Jwanoko jhol and jerry help to increase milk. Therefore, you should eat soft and sweet foods during pregnancy.

You should take care of your breast from the time you are pregnant, pay attention to its cleanliness. If the milk hole is blocked due to lack of cleanliness, it should be cleaned. Some have a habit of not wearing a bra because the baby has to be fed milk, that can also cause problems. Therefore, you should wear a bra that supports the breast well.

If the udder is small and milk does not come out, it can be taken out through a needle. If the baby is not able to pump milk, you can feed the baby by extracting milk with the help of a breast pump.

Instead of feeding goat milk because my milk did not come, milk can come if you find out the reason why milk did not come and treat it according to the doctor's advice.