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Doki Colic: Mirgina tashin hankali, Pawing, Kallon Flank, Rashin Sauti na Gut, da Me yasa Tafiya Keɓaɓɓen Volvulus Ba Zai Iya Maye gurbin Tiyata ba.

Lambobin gaggawa sun bambanta da ƙasa. Wannan shafin yana amfani da 911, lambar ga Amurka da Kanada. Yawancin ƙasashe suna amfani da 112, 999, ko wata lamba. Nemo lambar don ƙasar ku.

A ko'ina cikin kowane horo, nau'in, da salon gudanarwa a cikin duniyar equine, Maɗaukakin Ciwon Ciki ("Colic") shine ** lamba-daya mai kashe dawakan gida (Equus caballus)** bayan tsufa. Ba kamar shanu ko karnuka ba, dokin yana da nau'in ƙwayar cuta mai rauni na musamman wanda aka ƙera don ci gaba da kiwo a hankali wanda ke juyar da duk wani haɓakar iskar gas, busasshiyar ciyarwa, ko ƙaurawar hanji zuwa rikicin da ke barazana ga rayuwa: (1) hanyar tsokar zuciya sphincter (1)lower esophageal sphincter) a ƙofar ɗan ƙarami 8-to-15-Liter ciki wanda a zahiri yana hana doki yin amai ko toshewa, ma'ana idan ruwa da iskar gas ya dawo daga karamar hanji.enterogastric reflux), cikin doki zai fashe a zahiri 100% fatal within hours* sai dai idan likitan dabbobi ya wuce nasogastric (NG) bututu don kawar da matsa lamba; da (2) mai girma, 3.5-meter-long (11.5-foot), 80-to-100-Liter Hawan Babban Colon wanda ke shawagi cikin yardar rai a cikin ciki anga shi KAWAI a gindinsa (the right dorsal colon and cecocolic fold, yana barin duka hanjin ya juye akan ligament na nephrosplenic ko ** karkatarwa 180 to 720 degrees akan samar da jinin haila (Large Colon Volvulus).

Abin da ke raba dawakai da ke tsira daga mummunan colic daga dawakai da suka mutu ko kuma suna buƙatar euthanasia shine ** sanin farko game da raunin tiyata mai banƙyama a lokacin "Golden 2-to-4-Hour Window" ** da kuma guje wa tatsuniyoyi uku masu zurfi: ** (1) labarin da ke tafiya doki akai-akai na tsawon sa'o'i "yana tafiya daga doki" a hankali da kuma raunata kanta yayin da kuke jiran likitan dabbobi 360-degree Volvulus zuwa gaji yana hanzarta girgiza endotoxic kuma bai taɓa warware ƙwayar hanji ba; ** (2) tatsuniya cewa allurar Flunixin Meglumine (Banamine) cikin tsokar wuyan doki (IM) yana da lafiya mai saurin gyarawa** (intramuscularly Banamine yana haifar da ** m * Clostridium * gas gangrene / myonecrosis (30%+ mortality)** da kuma rufe fuska da hauhawar bugun zuciya da radadin jujjuyawar tiyata har sai hanji ya zama baki da necrotic); da (3) jira 8 zuwa 12 hours a sito "don ganin ko kashi na biyu na Banamine yana aiki" kafin haɗa tirelar doki. Lokacin da doki yana da ** Strangular Large Colon Volvulus *** ko ƙananan hanji ** Epiploic Foramen Entrapment **, murɗaɗɗen hanji yana rasa venous da jini na jijiya nan da nan: an kai shi asibitin equine a cikin awanni 2 zuwa 4 ***, tsira ya wuce ** 80% zuwa 90% na jira a ƙasa *** 80% na jira. *20% zuwa 30%**. Idan dokinku yana yin karo a yanzu, kira likitan dabbobin ku nan da nan, tuntuɓi yankin ku lambobin gaggawa idan doki mai birgima ya buge shi ko kuma ya murkushe shi, kuma a yi bitar ƴan uwanmu a kai kumburin dabbobi, rumen tympany, da bututun ciki, ciyawa barn konewa ba tare da bata lokaci ba da rigar alfalfa, kuma guba mai guba, giant hogweed, da ciyawa mai guba.

Yi wannan yanzu

  1. Kira likitan dabbobin ku nan da nan a alamar farko ta colic, KAR KU "jiran awa daya don ganin ko ta wuce" kuma KAR KU ba da wani magani mai zafi.Banamine, Bute, ko Dipyrone) Kafin yin magana da likitan dabbobi. Faɗa wa likitan dabbobi ainihin halayen doki da 5 Barn Vitals (Rashin Zuciya, Launin Gum / Lokacin Ciki, Sauti 4-Quadrant Gut, Zazzabi na Rectal, da Dijital Pulses).
  2. ** Cire DUKAN ciyawa, hatsi, dusar ƙanƙara, da kayan kwanciya da ake ci (bambaro/shavings) daga rumfar ko paddock nan da nan, yayin da ake barin ruwa mai tsafta sai dai in dokin yana murƙushewa da ƙarfi.
  3. KADA KA TABA shiga cikin ƙarami 3.6 x 3.6 meter (12 x 12 foot) rumfar kwali da dokin da ke jefar da kansa kasa yana birgima da karfi. A 500-kg (1,100-lb) doki a cikin matsanancin ciwon ciki yana makanta ga kasancewar ɗan adam kuma yana iya murkushe ku a bangon rumfa (causing fatal human pelvic/chest trauma). Matsar da doki zuwa ** karami, mai taushin ƙafafu, filin da ke kewaye, alƙalami mai zagaye, ko ciyawar ciyawa* idan lafiyayyen jagora, kuma tsaya a kafadar dokin a sarari.
  4. **Tafiya dokin a hankali na tsawon mintuna 15 zuwa 20 KAWAI idan dokin yana ƙoƙarin yin birgima da ƙarfi, KADA KA IYA tafiya da doki gajiye, shiru don gajiyawa.sternal recumbency) ba tare da sun yi jifa ko jifa da bango ba, a bar doki ya huta a nitse. Sabanin tsoffin tarihin sito, doki na birgima a ƙasa ba ya sa hanji ya karkace; a maimakon haka, ** hanjin ya riga ya karkace (ko kuma ya rabu da iskar gas), kuma sakamakon zafi mai tsanani ya sa doki ya yi birgima ***.
  5. KADA KA YARDA Flunixin MeglumineBanamine) cikin tsokar doki (IM), kuma KADA KA YI squirt mai allura Banamine cikin idanun doki (only give IV into the jugular vein or orally into the mouth if explicitly instructed by your vet). Ciki Banamine yana canza tsoka pH kuma yana haifar da lalacewar nama wanda ke kunna barci *** Clostridium septicum / Clostridium perfringens * spores ***, yana haifar da Clostridial Myonecrosis ("Malignant Edema / Gas Gangrene"), babban kumburin wuyansa mai guba wanda ke kashe kusan 1 cikin 3 dawakai.
  6. Kaɗa tirelar dokinka (ko kiran gaggawar equine hauler) YANZU yayin da kake jiran likitan dabbobi ya zo. Idan dokin ** bugun zuciya ya hau sama. 60 beats per minute (bpm), danko yana da ja-bulo-ja ko purple, sautin gut shiru ne a cikin dukkanin 4 quadrants, ko kuma ciwo mai tsanani ya dawo cikin ** 1 zuwa 2 hours ** bayan ciwon daji / analgesia, doki kusan yana da ** strangulation (surgeral strangulation).Volvulus ko Small Intestinal Entrapment) kuma dole ne ya kasance a kan hanyar zuwa asibitin equine tiyata nan da nan.

Danger

** Me yasa Yawan Zuciya (> 60 bpm) da Raddi ga Analgesia Shine Matsalolin Ƙarshen Ƙwaƙwalwar Gut ɗin Tiya, Kuma Dalilin Bada Ayaba Mara Kulawa Yana Kashe Dawakai.28 to 40 beats per minute (bpm)**. A cikin ƙananan ƙwayar cuta ** spasmodic / gas colic ko farkon ƙwanƙwasa ƙwanƙwasa **, bugun zuciyar doki yawanci yana zaune tsakanin 40 and 52 bpm, mucous membranes suna da danshi kuma kodadde ruwan hoda (CRT < 2 seconds), kuma kashi ɗaya da likitan dabbobi ya yarda da shi na analgesia yana kawar da zafi don * 8 zuwa 12+ hours **. Sabann haka, lokacin da *Large Colon ya karkata klzzwxh:09 (Large Colon Volvulus ko madauki na ƙananan hanji yana aƙewa ta hanyar epipleic foramen ko zobeinguinal, shimfiɗa bangon hanji na ischemic da ƙwayoyin cuta **endotoxin.lipopolysaccharide** sha yana motsa tsarin juya mai tausayi zuwa overdrive: bugun zuciya yana hawa da saurya wuce. 60 to 80+ bpm (kuma 80 to 120 bpm a ƙarshen gigita), gumi yana juyewa ** jajayen jajayen ja ko ja mai guba mai guba- shuɗi (endotoxic halo) da a CRT > 3 seconds, da kuma ** ba ma masu ƙarfi na alpha-2 masu kwantar da hankali ba (detomidine / xylazine) ko IV Banamine zai iya kiyaye doki dadi fiye da 30 to 90 minutes**. Idan mai shi ya bayar kzwxh:0140 kafin a kira likitanabbobi, yana ɗan ɗan lokaci yana dusar ƙanƙara mai sauƙi zuwa matsakaici kuma yana rage yawan bugun zuciya kawai don ɓata 4 zuwa sa'o'i 6 masu mahimmanci yayin da maƙarƙashiyar hanjin ta mutu cikin nutsuwa cikin ciki.

Bishiyar yanke shawara: Barn Triage na Equine Colic: Tasirin Lafiya/Gas vs. Strangulation TiyaVolvulus) vs. Colitis

Yi amfani da wannan taswirar jigilar dabbobi don tantance ainihin alamun asibiti 5 na dokin ku kuma tantance ko kuna ma'amala da colic na likita, murɗaɗɗen hanji na tiyata, ko kamuwa da cutar zazzaɓi.

flowchart TD
    A["Doki Yana Nuna Alamomin Colic: Pawing, Kallon Flank, Curling Lap (Flehmen), Kwanciya akai-akai, ko Mirgina Mummunan"] --> B{"Cire Duk Ciyarwa Nan da nan & Bincika Mahimmancin Barn 5 Lafiya (Matsayi na Zuciya, Gums/CRT, Temperat Temp, Sauti 4-Quadrant Gut Sauti, Dijital Pulses)"}
    B -->|"MATSALAR RECTAL> 38.6 C (101.5 F): Maƙarƙashiya, kashe abinci, alamun colic masu laushi, bulo-jajayen gumi, tare da saniya-pie ko zawo na ruwa"| C["CUTE COLITIS MAI CUTAR CIWAN CIWO (Zazzabin Doki na Potomac, Salmonella, Coronavirus, Clostridia, ko NSAID Dama Dorsal Colitis)"]
    B -->|"RASHIN RASHIN RASHIN RASHI: Jifa jiki zuwa ƙasa, kumburin ciki, gumi, Yawan Zuciya> 60-80+ bpm, CRT> 2.5-3 sec, ja / purple gums, Gut SILENT"| D["TSAYAR DA SAURAN TURAWA (Babban Colon Volvulus, Ƙaramin Epiploic/Cikin Ciwon Hanji, ko Ƙunƙarar Ƙarfafawa)"]
    B -->|"RASHIN TSARA-ZO-SAUKI: Pawing, mikewa, kwance a hankali, Rawan Zuciya 36-52 bpm, Pink Moist Gums (CRT <2s), Temp Al'ada (<38.3 C)"| E["SIMPLE MEDICAL COLIC TRIAGE (Spasmodic/Gas Colic, Pelvic Flexure Impaction, or Sand/Enterolith Obstruction)"]
    C --> F["BIOSECURITY & FLUID GAGGAN: 1. Ware Doki Nan da nan (BathBath + Gloves) 2. KAR KU BA DA NSAIDs Kafin Vet Checks Hydration 3. M Fluids na IV + Polymyxin B / Plasma + Ice Boots akan Duk 4 Hooves (Hana Laminitis)"]
    D --> G["MAGANAR TSAKIYAR TSARKI (Kowane Minti 30 Kidaya): 1. Kiyaye Mai Hannu Lafiya a Buɗe Wuri 2. Load Trailer Nan da nan 3. Vet Yana Wucewa NG Tube nan da nan don Rage Ciki (Hana Fatal Gastric Rupture) + IV Fluids -> Tiyata"]
    E --> H["Jarrabawar Likitan Dabbobi akan Noma: 1. Nasogastric (NG) Tube (Duba don> 2 L Reflux & Gudanar da Ruwa + Electrolytes + Laxative) 2. Rectal Palpation / Portable Ultrasound 3. Single Vet-Directed IV Analgesic/Antispasmodic (Buscopan / Xylnazine)"]
    H --> I{"Shin jin zafi yana dawowa cikin sa'o'i 1 zuwa 2 na maganin dabbobi, KO yana hawan Zuciya> 60 bpm, KO akwai> Lita 4 na NG Reflux?"}
    I -->|"Ee: Ciwon nasara, tashin HR, ko tabbataccen NG reflux"| G
    I -->|"A'a: Doki ya zauna lafiya, ya wuce taki, sautin hanji ya dawo"| J["Ci gaba da Azumin Jagororin Vet -> Sake Ciyarwa A hankali (Jika Mash -> Ƙananan Hannu na Hay) Sama da Awanni 48-72"]

Kashi na 1: Kwatancen asibiti na Manyan Nau'o'in Horse Colic guda 5

Kusan ** 80% zuwa 85% na cututtukan colic na equine suna warwarewa tare da jiyya na gonaki , yayin da ** 15% zuwa 20% ƙaurawar injina ne, tasiri, ko karkatar da hankali (volvulus) wanda ke buƙatar maganin ruwa na asibiti mai tsanani ko Celiotomy exploratory gaggawa ( tiyatar colic).

Nau'in Colic Injiniyan Halittu & Abubuwan Tattaunawa gama gari Matsayin Raɗaɗin Halayen Classic Yawan Zuciya & Ƙwayoyin Ƙwaƙwalwa (Gums / CRT) Sautin Gut (Borborygmi& Nasogastric (NG) Reflux Tabbataccen Maganin Dabbobi
*1. Spasmodic / Gas Colic *** (kusan 40-50% na duk colics) Ciwon hanji mai yawan motsa jiki ko iskar fermentation mai wuce gona da iri a cikin cecum/babban hanji bayan ciyawa mara kyau, yawan nauyin hatsi, yanayin yanayi / canjin yanayi, ko ƙauran parasite Maɗaukaki zuwa Matsakaici (Matsakaici): Pawing, kallon gefe, kwance na mintuna 10 sannan a tashi tsaye; amsa da sauri don tafiya HR 36 to 50 bpm; Danshi kodadde-ruwan hoda; CRT < 2.0 sec * Sautin iskar gas mai ƙarfi, ƙara mai ƙarfi, ƙarar gasor focal gas pings); Zero NG reflux IV N-butylscopolammonium bromide (Buscopan) ko daya IV Banamine / Xylazine; yana warwarewa a cikin 1 zuwa 4 hours
2. Babban Tasirin Ciwon (Pelvic Flexure / Cecal / Sand) (kimanin 25-30% na colics) Busasshiyar ciyawa/ bambaro ko yashi mai cike da yashi a cikin ** Flexure Pelvic ** (inda hanjin ya ragu daga ciki). 25 cm [10 in] kasa zuwa 8 cm [3 in] da yin a 180-degree juya gashi) ** Mai laushi, mara nauyi, Tsawaitawa:** Kashe abinci, kwanciya shiru na tsawon lokaci, murɗa leɓe na sama (flehmen), mikewa kamar zai yi fitsari, yana wuce kananan busassun busassun busassun busassun kwalabe HR 36 to 52 bpm da farko (rises > 60 bpm if neglected for 24-48h); Pink/tacky gum ** Rage (hypomotile) ko ba ya nan** a cikin ƙwanƙwasa huɗu na hagu/dama; ** Zero NG reflux *** da farko ** Maimaita Nasogastric (NG) Tubing *** tare da 6 to 8 Liters na ruwan dumi + daidaita electrolytes (+ Magnesium Sulfate [Epsom salts] or Mineral Oil / DSS), IV Fluids idan mai ban tsoro, tafiya
3. Maɓallin Maɓalli marar shakewa (Dorsal na Hagu / Nephrosplenic ko Dorsal na Dama) Hannun hagu yana shawagi zuwa sama akan aljihun gas kuma yana ɗaure kan nephrosplenic ligament (tsakanin saifa da koda na hagu) ko kuma ya matsa zuwa dama. Matsakaici & Dagewa: Maimaituwar kallon gefe, bugun ciki, kwanciya; sassauci na wucin gadi na wucin gadi daga analgesia sannan ya dawo da zafi HR 44 to 64 bpm; Pink zuwa danko mai cunkoso; CRT about 2.0 sec Ragewa a gefen hagu; jarrabawar duban dan tayi/kumburi yana jin hanji ya makale akan saifa 1. Likita:IV Phenylephrine (splenic contraction) + haske trotting/lunging* ko ** Juyawa karkashin gajeriyar maganin sa barci*2. Gyaran fida idan ya hana
4. Ƙarƙashin Ƙarƙashin Ƙarƙashin Hanji (Epiploic Foramen, Inguinal Hernia [Stallions], Lipoma [Seniors], Volvulus) Madauki na jejunum/ileum yana zamewa ta hanyar zoben jiki mai tsauri (epiploic foramen) ko kuma ya nannade wani abin da ba a sani ba ** strangular lipoma ** (na kowa a cikin dawakai > 15 years old), yanke kwararar jini Mai tsanani, Cigaba mai Ciwo wanda ke canzawa zuwa tsananin baƙin ciki da zarar hanji ya mutu; haɗarin fashewar Gastric daga ruwan da aka goya baya HR 65 to 110+ bpm; Jajaye mai duhu, laka, ko shunayya; CRT 3.0 to 4.0+ sec ** Gaba daya shiru (ileus)**; * MASSIVE NasogastricNGReflux (4 to 15+ Liters Ruwan alkaline mai launin ruwan orange/ ruwan kasa mai ƙamshi)* **1. Nan da nan NG Tube Decompression kowane 1-2 hours (Ajiye ciki daga rupturing) *** 2. Tiyatar Ciwon Gaggawa(resection & anastomosis)
5. Babban Colon Volvulus ("Gwargwadon Digiri na 360") Gabaɗaya 80-Liter hawan hanji yana juyawa >= 270 to 720 degrees a kusa da axis na mesenteric (mafi girman haɗari a cikin ** post-foaling broodmares ** da dawakai suna ciyar da hatsi mai girma) RASHIN HANKALI, CIWON DA BA ZAI KIYAWA BA: Doki ya jefa kanshi a kasa, yana birgima, gumi ya zubo, a bayyane ** kumbura "apple/ganga" cikin**, gaba daya bai amsa ba. Banamine ko Detomidine HR 70 to 120+ bpm; Brick-ja zuwa cyanotic purple gums tare da layi mai guba; CRT > 3.5 sec; sanyi kunnuwa / kafafu Matattu shiru (0/4 quadrants); matsatsin drum kamar iskar gas (tympany) ** CELIOTOMY TIYAR GAGGAWA A CIKIN SA'O'I 2 ZUWA 4** (kowane jinkiri na mintuna 30 yana rage rayuwa sosai)

Sashe na 2: Zurfafa Nitsewa: Yadda ake Bincika Mahimman Barn 5 Kafin Kira Likitan Dabbobinku

Lokacin da kuka kira likitan dabbobi na equine a karfe 2:00 na safe don doki mai yawo, ba su waɗannan ** lambobi biyar na haƙiƙa ** ta wayar tarho suna gaya musu nan da nan ko suna buƙatar saduwa da ku akan babbar hanyar zuwa asibitin tiyata ko kuma ku zo wurin ku don aikin motsa jiki. (Koyaushe ka ba da fifiko ga lafiyarka: idan dokin yana jefa kansa da ƙarfi a ƙasa, KAR KA YI yunƙurin ɗaukar zafin jiki na dubura ko sauraron gefen gefe.)

+-----------------------------------------------------------------------------+
|       THE 5 EQUINE COLIC BARN VITALS & SURGICAL RED-FLAG THRESHOLDS         |
+-----------------------------------------------------------------------------+
|  1. HEART RATE (Stethoscope Behind Left Elbow OR Facial Artery Under Jaw):  |
|     - Normal Adult Resting HR:     28 to 40 beats per minute (bpm)          |
|     - Mild / Medical Colic:        40 to 52 bpm                             |
|     - Moderate / Borderline:       52 to 60 bpm                             |
|     - SURGICAL RED FLAG:           > 60 bpm (and > 80 bpm = Severe Shock)   |
|                                                                             |
|  2. GUM COLOR (Mucous Membranes) & CAPILLARY REFILL TIME (CRT):             |
|     - Lift upper lip gently; press thumb against gum above upper corner     |
|       incisor for 2 seconds, release, and count seconds for pink to return. |
|     - Normal:   Moist, pale bubble-gum pink; CRT = 1 to 2 seconds.          |
|     - RED FLAG: Dry/tacky (dehydration), Pale/White (internal bleed/shock), |
|                 Brick-Red, Muddy, or Purple/Blue line around teeth          |
|                 ("Endotoxic Halo"); CRT > 2.5 to 4.0+ seconds.              |
|                                                                             |
|  3. FOUR-QUADRANT GUT SOUNDS (Auscultate Both Flanks, Upper & Lower):      |
|     - Listen for 30-60 seconds at: (1) Upper Left, (2) Lower Left,          |
|       (3) Upper Right (Cecum, should have a loud 'toilet-flush' sound      |
|       every 30-60 sec), and (4) Lower Right.                                |
|     - RED FLAG: Complete silence in all 4 quadrants ("Silent Abdomen" =     |
|                 ileus/strangulation) OR high-pitched metallic 'pings'.      |
|                                                                             |
|  4. RECTAL TEMPERATURE (Stand Safely Against Left Hip, Tail Held Aside):    |
|     - Normal Adult Temp:  37.2 C to 38.3 C (99.0 F to 101.0 F)              |
|     - RED FLAG HIGH:      > 38.6 C (101.5 F) -> Suspect Infectious Colitis  |
|                           (Salmonella/PHF), Peritonitis, or Pleuropneumonia |
|     - RED FLAG LOW:       < 36.6 C (98.0 F) with high HR -> Endotoxic Shock |
|                                                                             |
|  5. HOOF TEMPERATURE & DIGITAL PULSES (Back of Fetlock / Pastern):          |
|     - Palpate medial & lateral digital arteries over the sesamoid bones.    |
|     - RED FLAG: Bounding, throbbing digital pulses + hot hooves -> Acute    |
|                 Endotoxic Laminitis ("Founder") triggered by gut toxins.    |
+-----------------------------------------------------------------------------+

Yadda ake Neman bugun Doki Ba tare da Stethoscope ba

Idan ba ku da stethoscope a cikin kayan aikin taimakon farko na sito, sanya yatsu biyu da ƙarfi a kan ** Facial Artery ** inda yake birgima a gefen ƙasa na ƙashin ƙashin ƙashin ƙasa (mandible), a gaban babban tsokar kunci mai zagaye (masseter). Ƙididdige bugun na 15 seconds kuma ninka da 4 don samun beats per minute (bpm).


Sashe na 3: Gaskiyar Tafiya Game da Tafiya Dokin Ƙwaƙwalwa, Juyawa, Da Me Yasa A Jikin Jiki Banamine Haramun ne

1. Shin Juyawa Yana Haɓaka Gut, kuma Nawa Ya Kamata Ka Tafiya Dokin Kashewa?

Daya daga cikin mafi dadewa da rashin fahimta wajen hawan doki shine "Kada ka bari doki mai kisa ya kwanta ko ya yi birgima, ko ya karkace hanjinsa, ya rinka tafiya da shi komai." - Haqiqanin Tiyatar Dabbobi: Likitocin fida a asibitocin koyarwa na jami'a sun tabbatar da cewa juyawa baya murza hanji na yau da kullun; maimakon haka, iskar iskar gas ko motsin motsi yana karkatar da hanjin da farko, kuma sakamakon tsananin zafin mesenteric ya tilasta dokin ya jefar da kansa ƙasa ya yi birgima. - Lokacin Tafiya Yana Taimakawa (da Kuma Lokacin Da Yake Ciki): - KI yi tafiya a hankali (15 to 20 minutes at a calm walk idan: ** (a)** doki yana da iskar gas / tasiri mai rauni, inda motsi mai laushi yana motsa motsin hanji (peristalsis) da kuma taimakawa wajen wuce gas; KO (b) dokin yana yunƙurin jefar da kansa ƙasa ya yi tagumi a cikin rumfa ko a kan shinge, inda tafiya ke kawar da hankalin doki kuma ya hana ** cutar da kansa (skull/orbital fractures, ruptured spleen, or casting itself upside-down against a wall). - KADA KADA KADA KADA KADA KASA KASA KASA KASA KASA DKI: Idan doki yana tafiya tsawon minti 20 zuwa 30, ya gaji, kuma kawai yana so ya kwanta a kan kirjinsa.sternal recumbency) ko kuma a miqe a gefensa ba tare da an yi tsiya ba******A DAINA TAFIYA a bar dokin ya kwanta a cikin amintaccen filin wasa mai zurfi mai zurfi ko ciyawar ciyawa. Tafiya ta tilastawa gajiye, dawakin dakon doki na tsawon sa'o'i yana rage glycogen, yana kara tsananta rashin ruwa da lactic acidosis, kuma yana hanzarta girgiza endotoxic.

2. Me yasa Flunixin MeglumineBanamine) Kada A Taba Allura A cikin tsoka (IM)

Yawancin masu doki suna ajiye kwalban allura Flunixin Meglumine (Banamine, 50 mg/mL) a cikin dakin taki kuma an jarabce su da su ba da a 10 mL harbi a wuya ko tsokar baya (IM) lokacin da doki ya taso. Kada kayi haka, saboda dalilai guda biyu na rayuwa ko-mutuwa: 1. ** M Clostridial Myonecrosis ("Gas Gangrene" / m Edema):** - Dawakai masu lafiya a zahiri suna ɗaukar ƙananan ƙwayoyin anaerobic Clostridium septicum, Clostridium perfringens, da Clostridium chauvoei *** a cikin tsokoki na kwarangwal (waɗanda ke shiga daga hanji ko ramukan fata kuma suna kwance ba tare da lahani ba muddin tsokar tsoka tana da iskar oxygen). - Mai allura Banamine (pH about 8.2 to 8.5 tare da propylene glycol da phenol preservatives) yana da zafi sosai ga ƙwayoyin tsoka. Lokacin allura a cikin wuyansa ko tsokar gluteal, yana haifar da ** tsokar tsokar ischemic necrosis kuma yana sauke iskar oxygen na gida zuwa sifili . - A cikin sa'o'i 12 zuwa 48, Clostridium mai bacci yana tsiro a cikin wannan mataccen tsokar tsoka kuma ya saki alpha- da beta-exotoxins masu kashe wuyan doki, suna cika subcutis tare da kumfa mai ƙamshi mai ƙamshi.crepitus), yana haifar da toxemia na tsarin, da ** kashe 25% zuwa 35%+ na dawakai da abin ya shafa ** ko da tare da lalatawar tiyata na gaba ɗaya gefen wuyansa. - ** Dokokin Hanyar Amintacciya: Idan likitan dabbobi ya umurce ka ta wayar tarho don gudanar da aikin. Banamine (bayan kun ba da rahoton mahimman abubuwa 5), ko dai ku sayi FDA-amince Banamine Paste, ko zana ruwan alluran Banamine a cikin sirinji ** BA TARE DA allura ba* sai a murza shi ** da baki a cikin kusurwar bakin doki** (absorbs into the bloodstream in 30 to 45 minutes, almost as fast as an IM shot, with ZERO risk of Clostridial gas gangrene or carotid artery injection). Likitan dabbobi ko ƙwararren ƙwararren ƙwararren ƙwararren ƙwararren venipuncture na aseptic ya kamata ya gudanar. IV Banamine (rasa jijiyar jugular da allura a cikin carotid artery yana haifar da kamun kai da mutuwa nan take). 2. ** Yin Fuskantar Volvulus Tiya:** - Banamine cyclooxygenase mai ƙarfi ne (COX) mai hanawa wanda ke toshe ciwon visceral na prostaglandin kuma yana toshe zafin farko / tachycardia na endotoxemia. - Idan doki yana da wuri ** yana murkushe ƙananan ciwon hanji ko hanji volvulus , bayarwa Banamine kafin likitan dabbobi ya zo zai iya sa dokin ya tsaya a hankali ya yi nisa na tsawon awanni 2 zuwa 4 yayin da madauki na hanji ya sha wuyar ischemic necrosis a bayan fage.


Sashe na 4: Abin da Likitan Dabbobin Dabbobi Zai Yi A Wurin & Yadda Ake Gane Ƙarya "Farawa Mu'ujiza" (Gastric Rupture)

1. Aiki Akan Noma Veterinary Colic Workup

Lokacin da likitan dabbobi ya zo, sai a shirya guga na ruwan dumi, madaidaicin, da haske mai kyau: 1. NasogastricNG) Intubation (Cusar Tubin Ciki): Dukansu * gwajin gwaji** da maganin ceton rai. Likitan dabbobi ya wuce bututu sama da hanci zuwa cikin ciki kuma ya haifar da siphon. - A al'ada, cikin equine yana haifar da haɓaka < 1 to 2 Liters ruwa. - Idan 4 to 15+ Liters na rashin kamshi, orange-launin ruwan kasa, alkaline (pH > 6) ruwan kankanin hanji yana fita (Positive Nasogastric Reflux, ƙananan hanji yana toshewa ta hanyar inji (strangulation ko anterior enteritis), kuma likitan dabbobi ya ceci ciki daga fashewa. - Idan akwai ** reflux zero , famfo na dabbobi 4 to 8 Liters na ruwan dumi, daidaita electrolytes, da Magnesium Sulfate (Epsom gishiri, 0.5 to 1 g/kg) ko Mineral Oil (2 to 4 Liters a cikin ciki don shayar da babban tasirin hanji. 2. Madaidaicin Palpation & Motsa Jiki na CikiFLASH Exam): Yana Gano tasirin juzu'in ƙashin ƙashin ƙashin ƙugu, cecum mai rarrabuwar iskar gas, matsatsin igiyoyin mesenteric, ko ƙananan madaukai na hanji da aka faɗa. > 5 cm (2 inches) tare da kauri edematous ganuwar (> 4 mm). 3. Abdominocentesis ("Cikin Tap"): Ruwan cikin peritoneal na al'ada shine ** bayyanannen bambaro-rawaya (lactate < 2 mmol/L). ** Serosanguinous (mai launin jini ko launin ruwan kasa) ruwan peritoneal tare da haɓakar lactate (> 4 mmol/L** yana tabbatar da wani bangare na hanji ya shake, yana wajabta yi masa tiyata nan take.

2. Tarkon Mafi Muni a Magungunan Equine: Kwatsam "Raunin Raɗaɗi" Daga Rushewar Ciki ko Cecal

Idan doki ya kasance a cikin ** tashin hankali ciwon ciki na sa'o'i ** tare da bugun zuciya na 80 to 100 bpm kuma ** ba zato ba tsammani, cikin mintuna 5**, ya daina birgima, ya tsaya cak tare da rataye kansa ƙasa, ya yi kama da "lafiya": - Kada ku ɗauka cewa colic ya warke da kansa. A duba gumi, bugun jini, da fata nan da nan. - Idan dokin yana ** yana tsaye babu motsi, yana rawar jiki, yana jike da gumi mai sanyi, tare da bugun zuciya 100 to 120+ bpm, shunayya/ laka, da faɗuwar zafin dubura (< 36.5 C / 97.7 FCikin ciki ko cecum ya fashe (perforated cikin ciki. - Da zarar bangon ciki ya tsage ya buɗe, masu karɓa suna daina harbe-harbe (don haka juzu'in zafi ya ɓace), yayin da 15 Liters Acid na ciki da kwayoyin cuta suna mamaye kogin peritoneal, suna haifar da girgizar septic a cikin awanni 1 zuwa 3*.

Warning

** Colic Mimics: Esophageal Choke, Stallion Inguinal Hernia, da Tying-Up (Exertional Rhabdomyolysis).** 1. Toshewar Esophageal ("Choke"): Dokin yana miqe wuyansa, yayi tari, da tari** tare da kusurin ruwan kore/fararen fata da taunawa yana zubowa daga cikin hancin biyun biyu**. (A cire duk abinci/ruwa nan take sannan a runtse kan kai don hana ciwon huhu) 2. Maƙarƙashiyar Maganin Inguinal a cikin Stallions: Koyaushe taɗa ɗigon ɗigon biyu a cikin kowane doki mai tasowa; madauki na ƙananan hanji a cikin maƙarƙashiya yana haifar da sanyi, kumbura, ƙwai mai ƙarfi kuma yana buƙatar tiyata nan take. 3. ** Exertional Rhabdomyolysis ("Tying-Up"):** Yana faruwa a lokacin motsa jiki ko bayan motsa jiki tare da ** rock-hard hindquarters tsokoki ** da duhu launin ruwan kasa (myoglobinuria) fitsari. KADA KA TABA TAFIYA dokin da yake daure.

Tip

Yadda ake Hana Tasirin lokacin hunturu Colic da Hay-Change Colic. Canje-canjen gudanarwa guda biyu suna haifar da haɗarin colic 5-zuwa-ninki 10: (1) Canja ciyawa batches ba zato ba tsammani (haɗa tsofaffi da sabon ciyawa a saman. 7 to 10 days), da (2) Sanyi yana kamawa lokacin da magudanan ruwa suka daskare ko kuma suka fado kasa 2 C (35 F). Shigar ** masu dumama tanki (keeping water at 7 C to 15 C [45 F to 60 F]*** sai a zuba ** cokali 1 zuwa 2 (30 to 60 g) na sako-sako da farin gishiri (NaCl** don ciyar da yau da kullun ko dusar ƙanƙara don kiyaye ruwa yana motsawa ta hanyar jujjuyawar ƙashin ƙugu.

(Don abubuwan gaggawa na dabbobi da gonaki, duba Kumburi na Dabbobi: makiyayan legume mai kumfa, rumen tympany, bututun ciki, da gaggawar trocar, Hay barn konewa ba tare da bata lokaci ba da rigar baled alfalfa, kuma Guba hemlock, giant hogweed, da ciyawa mai guba.)


Lambobin gaggawa na yanki da ka'idojin hukumar

Yanki / Ƙasa Gaggawar Dan Adam Equine Veterinary Emergency & Referral Networks Takamaiman Bayanan kula na Clinical & Transport Protocol Notes
Amurka & Kanada 911 Tuntuɓi likitan ku na farko Primary Equine Veterinarian DA pre-shiro mafi kusa Jami'ar Magungunan Dabbobin Dabbobi (CVM) ko Asibitin tiyatar Equine (AAEP) Riƙe tirelar dokinku a shirye kafin gaggawa ta faru. Celotomy na tiyata yana rufe ta ** Babban Inshorar Likita / Colic Surgery**.
United Kingdom 999ko112 Tuntuɓi 24/7 Equine Veterinary PracticeRCVS* BHS / BEVA REACT Colic Campaign** ** BEVA / Jami'ar Nottingham REACT Now to Beat Colic ka'idar** tana jaddada miƙa kai tsaye lokacin da bugun zuciya ya wuce 60 bpm.
Ƙungiyar Tarayyar Turai 112 Na gida 24/7 asibitin EquinePferdeklinik / Clinique Équine* ko Asibitin Jami'a Kiyaye dokin ** Fasfo na Equine *** a shirye: Sashe na IX dole ne ya raka duk wani doki da aka kai zuwa asibitin tiyata.
** Ostiraliya & New Zealand *** ** Ostiraliya: 000 New Zealand: *111 24/7 Equine Veterinary Practice ko Cibiyar Equine ta Jami'a (** EVA / NZEVA**) A cikin yankunan kiwo mai yashi, ** Sand Colic *** shine babban dalilin toshewar hanji da ake yi wa magani ta hanyar psyllium/magnesium sulfate nasogastric drenching.

Tambayoyin da ake yawan yi

Does letting a colicking horse lie down and roll cause its intestines to twist?

**No.** Veterinary surgeons have proven that a horse's colon or small intestine **does not twist because the horse rolled on the ground**; rather, gas buildup or an anatomical entrapment **twists the gut first**, and the resulting pain forces the horse to roll. Only walk a colicking horse slowly (`15 to 20 minutes`) if it has mild gas/impaction colic or if it is **thrashing violently and at risk of injuring itself (`breaking its orbit or getting cast against a stall wall`)**. If a colicking horse wants to **lie quietly on its chest (`sternal`) without thrashing**, let it rest while waiting for the veterinarian, as walking a sick horse to exhaustion worsens shock.

Why should I NEVER inject Banamine (Flunixin Meglumine) into my horse's neck or hindquarters muscle?

Injecting **Flunixin Meglumine (`Banamine`)** into a horse's muscle (`IM`) carries a high risk of **Clostridial Myonecrosis ("Gas Gangrene")**, a flesh-eating infection caused by dormant *Clostridium* spores in equine muscle that germinate inside the necrotic tissue left by the `Banamine` shot, killing **25% to 35% of affected horses**. In addition, giving `Banamine` before your veterinarian examines the horse **masks the pain and lowers the heart rate of a surgical twisted gut (`volvulus`)**, wasting 4 to 6 critical hours while the intestine dies internally. Only give `Banamine` **after speaking to your veterinarian**, and administer it **orally into the mouth (`Banamine paste` or liquid squirted into the mouth with a needleless syringe)**, never into the muscle.

What heart rate in a colicking horse tells you that it probably needs emergency colic surgery?

A healthy adult horse at rest has a heart rate of **`28 to 40 beats per minute (bpm)`**. While a mild spasmodic colic or simple impaction typically keeps the heart rate between **`40 and 52 bpm`**, a **sustained or rising heart rate above `60 bpm` (`and especially 70 to 100+ bpm`)** paired with dark-red or purple gums (`CRT > 2.5 seconds`), silent gut sounds, and pain returning within 1 to 2 hours of sedation is the #1 indicator of a **strangulating surgical lesion (`Large Colon Volvulus` or `Small Intestinal Entrapment`)** requiring immediate surgical transport.

Why can't horses vomit, and why does a veterinarian always pass a stomach tube up the horse's nose during colic?

Horses have a heavily muscled, one-way **cardiac sphincter (`lower esophageal sphincter`)** that physically prevents vomiting or belching, and a relatively small stomach (`8 to 15 Liters`). If the small intestine is blocked, digestive fluid backs up into the stomach (`enterogastric reflux`) until the **stomach wall ruptures inside the abdomen (`100% fatal`)**. Passing a **nasogastric (`NG`) tube** allows the veterinarian to siphon off trapped gas and fluid immediately and, if there is no reflux, pump water, electrolytes, and Epsom salts or mineral oil directly onto a colon impaction.

What does it mean if a horse in violent, thrashing colic pain suddenly stops rolling and stands completely still with its head down?

When a horse in **violent colic pain for hours** suddenly goes quiet within 5 minutes, stands with its head hanging low, trembles, breaks out in a **cold clammy sweat**, and has a **racing heart rate (`100 to 120+ bpm`) with purple gums**, it is the classic sign of **acute Gastric Rupture or Cecal Rupture**. Once the stomach or cecum bursts open, stretch pain vanishes while stomach contents flood the abdomen and cause fatal septic shock within 1 to 3 hours.

How should I feed my horse during the first 48 hours after recovering from a mild medical or impaction colic?

Never put a horse right back onto full dry hay or grain after colic. Once your veterinarian confirms the impaction has passed, gut sounds have returned, and the horse is passing manure, start with **frequent, tiny, high-moisture meals over 48 to 72 hours**: warm **sloppy soaked hay-pellet or beet-pulp mashes (with `1 tablespoon of loose salt`)** and **10-minute hand-walks of fresh green grass** every 3 to 4 hours, then slowly reintroduce **small handfuls of soaked grass hay** over Day 2 and Day 3 while withholding grain for 5 to 7 days.

Jagora masu alaƙa

Tushen da jagorar hukuma

  • Ƙungiyar Ma'aikatan Equine ta Amurka (AAEP): *Equine Colic: Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ciki, Ƙunƙarar Nasogastric, da Ƙwararren Farko *.
  • ** Ƙungiyar Likitan Dabbobi ta Biritaniya (Equine Veterinary Association)BEVA), Ƙungiyar Horse ta Biritaniya (BHS), & Jami'ar Nottingham:** Rikicin Yanzu don Kare Kamfen Bambance-bambancen Shaidar Colic.
  • ** College of Veterinary Internal Medicine (Amurka)ACVIM) & ACVS:** Bayanin Ijma'i akan Babban Colon Volvulus, Ƙaramin Ƙarƙashin Hanji, da Clostridial Myonecrosis daga IM Flunixin Meglumine.
  • Merck Veterinary Manual: Overview of Colic in Horses: Gastric Rupture, Pelvic Flexure Impaction, and Endotoxic Laminitis.