Horse Colic: Yiyi Iwa-ipa, Pawing, Wiwo Flank, aini Awọn ohun Gut, ati Idi ti Ririn Volvulus Yiyi Ko le Rọpo Iṣẹ abẹ¶

Kọja gbogbo ibawi, ajọbi, ati aṣa iṣakoso ni agbaye equine, ** Irora Inu Inu (“Colic”)** jẹ ** nọmba-ọkan ti iṣoogun ti awọn ẹṣin ile (Equus caballus)** lẹhin ọjọ ogbó. Ko dabi ẹran-ọsin tabi awọn aja, ẹṣin naa ni anatomi ikun ati ikun ẹlẹgẹ alailẹgbẹ ti a ṣe fun jijẹ jijẹ lọra ti o yi iyipada gaasi eyikeyi, ipa kikọ gbigbe gbigbẹ, tabi iyipada ifun sinu aawọ eewu-aye: ** (1) sphincter iṣan ọkan ọkan-ọna kan (1)lower esophageal sphincter) ni ẹnu-ọna si kan jo mo kekere 8-to-15-Liter ikun ti o ṣe idiwọ fun ẹṣin ni ti ara lati eebi tabi sisun , afipamo pe ti omi ati gaasi ba pada lati inu ifun kekere (enterogastric reflux), ikun ẹṣin yoo gangan ** rupture (100% fatal within hours ayafi ti oniwosan ẹranko ba kọja ni nasogastric (NG) tube lati siphon awọn titẹ si pa; ati ** (2) nla, 3.5-meter-long (11.5-foot), 80-to-100-Liter Gigun nla Awọ ti o leefofo larọwọto inu ikun ti o duro NIKAN ni ipilẹ rẹ (the right dorsal colon and cecocolic fold*, gbigba gbogbo oluṣafihan lati yipo lori iṣan nephrosplenic tabi ** yiyi 180 to 720 degrees lori ipese ẹjẹ mesenteric tirẹ (Large Colon Volvulus).

Ohun ti o ya awọn ẹṣin ti o ye colic nla kuro ninu awọn ẹṣin ti o ku tabi nilo euthanasia ni ** idanimọ ni kutukutu ti ọgbẹ iṣẹ abẹ kan ti o yọkuro lakoko “Ferese goolu 2-si-4-wakati” ** ati yago fun awọn arosọ abà mẹta ti o jinlẹ: ** (1) Adaparọ ti nrin ẹṣin nigbagbogbo fun awọn wakati “rin lọ” kan ati ipalara fun ara rẹ nigba ti o duro fun oniwosan ẹranko; 360-degree volvulus to exhaustion accelerates endotoxic mọnamọna ati ki o ko untwists a strangulated oluṣafihan); ** (2) Adaparọ ti o fun Flunixin Meglumine abẹrẹ (Banamine) sinu iṣan ọrun ẹṣin (IM) jẹ atunṣe iyara to ni aabo *** (intramuscular Banamine Awọn okunfa ** apaniyan * Clostridium * gangrene gaasi / myonecrosis (30%+ mortality)** ati awọn iboju iparada iwọn ọkan ti o ga ati irora ti lilọ abẹ-abẹ titi ifun yoo fi di dudu ati necrotic); ati ** (3) nduro 8 si 12 wakati ni abà "lati rii boya iwọn lilo keji ti Banamine ba ṣiṣẹ" *** ṣaaju ki o to somọ tirela ẹṣin. Nigbati ẹṣin ba ni ** strangulating Large Colon Volvulus *** tabi ifun kekere ** Epiploic Foramen Entrapment **, ifun yiyi padanu iṣọn-ẹjẹ rẹ ati iṣan ẹjẹ iṣan ara lẹsẹkẹsẹ: gbe lọ si ile-iwosan iṣẹ abẹ equine laarin ** 2 si 4 wakati **, iwalaaye ti kọja ** 80% si 90% ni isalẹ… **20% si 30% ***. Ti ẹṣin rẹ ba n kọlu ni bayi, pe dokita equine rẹ lẹsẹkẹsẹ, kan si agbegbe rẹ pajawiri awọn nọmba ti o ba ti a eda eniyan oluṣakoso ti wa ni tapa tabi fọọ nipa ẹṣin yiyi, ki o si ṣe ayẹwo awọn itọsọna arakunrin wa lori ẹran ọsin bloat, rumen tympany, ati Ìyọnu ọpọn, koriko abà ijona lẹẹkọkan ati alfalfa tutu, ati majele hemlock, omiran hogweed, ati majele ti koriko èpo.

Ṣe eyi ni bayi¶

1. **Pe dokita equine rẹ Lẹsẹkẹsẹ ni ami akọkọ ti colic, MAA ṢE “duro fun wakati kan lati rii boya o kọja” ati MAA ṢE fun oogun irora eyikeyi (Banamine, Bute, tabi Dipyrone) ṣaaju ki o to sọrọ si oniwosan ẹranko.
2. **Yọ GBOGBO koriko, ọkà, mash, ati ibusun ti o jẹun (koriko/irun) kuro ni ibùso tabi paddock lẹsẹkẹsẹ, nigba ti nlọ omi mimọ wa ayafi ti ẹṣin ba npa ni agbara.
3. ** MAA tẹ sinu kekere kan 3.6 x 3.6 meter (12 x 12 foot) ibùsùn àpótí pẹ̀lú ẹṣin tí ń ju ara rẹ̀ sọ̀ kalẹ̀ tí ó sì ń yí po líle.** A 500-kg (1,100-lb) Ẹṣin ni colic strangular ti o lagbara jẹ afọju si wiwa eniyan ati pe o le fọ ọ ni odi iduro (causing fatal human pelvic/chest trauma). Gbe ẹṣin lọ si ** kekere, ẹsẹ rirọ, gbagede ti a fipade, pen yipo, tabi padoko koriko *** ti o ba ni ailewu lati darí, ki o duro si ejika ẹṣin ni aaye ṣiṣi.
4. Ri ẹṣin naa laiyara fun iṣẹju 15 si 20 NIKAN ti ẹṣin ba n gbiyanju lati yipo ni agbara, MAA ṢE rin ẹṣin ti o rẹwẹsi, ti o dakẹ lati rẹwẹsi. Ti ẹṣin ba fẹ dubulẹ ni idakẹjẹ lori sternum rẹ (sternal recumbency) laisi gbigbẹ tabi ta ara rẹ si odi, jẹ ki ẹṣin sinmi ni idakẹjẹ. Ní òdì kejì sí àwọn ìtàn àtẹnudẹ́nu abà àtijọ́, ẹṣin tí ń yí lórí ilẹ̀ * kì í jẹ́ kí ìfun yípo; dipo, ** ikun ti tẹlẹ yiyi (tabi distended pẹlu gaasi), ati awọn Abajade irora irora mu ki ẹṣin yiyi **.
5. ** MASE fun Flunixin Meglumine abẹrẹ (Banamine) sinu iṣan ẹṣin (IM), ati MASE squirt abẹrẹ Banamine sinu oju ẹṣin (only give IV into the jugular vein or orally into the mouth if explicitly instructed by your vet.** inu iṣan Banamine ayipada isan pH ati ki o fa necrotic àsopọ bibajẹ ti o activates dormant *** Clostridium septicum / Clostridium perfringens * spores ***, nfa Clostridial Myonecrosis ("Malignant Edema / Gas Gangrene"), kan lowo, crackling, majele ọrun wiwu ti o pa aijọju 1 ni 3 ẹṣin.
6. ** Di ọkọ tirela ẹṣin rẹ (tabi pe equine hauler pajawiri) ni bayi lakoko ti o nduro fun vet lati de.** Ti ẹṣin rẹ ** oṣuwọn ọkan ba ga ju 60 beats per minute (bpm), gums jẹ biriki-pupa tabi eleyi ti, awọn ohun ikun wa ni ipalọlọ ni gbogbo awọn igemerin mẹrin, tabi irora nla pada laarin awọn wakati 1 si 2 ** lẹhin sedation veterinary/analgesia, ẹṣin naa fẹrẹẹ dajudaju ni ** strangulation iṣẹ-abẹ (Volvulus tabi Small Intestinal Entrapment) ati pe o gbọdọ wa ni opopona si ile-iwosan iṣẹ abẹ equine lẹsẹkẹsẹ.

Igi ipinnu: Abà Triage ti Equine Colic: Ipa Iṣoogun/Gas vs. Strangulation abẹ (Volvulus) vs Colitis¶

Lo iwe-iṣan ṣiṣan ti ogbo lati ṣe ayẹwo awọn ami iwosan 5 mojuto ẹṣin rẹ ati pinnu boya o n ṣe pẹlu colic iṣoogun kan, ikun alayidi iṣẹ abẹ, tabi colitis iba àkóràn.

flowchart TD
    A["Ẹṣin Fifihan Awọn ami ti Colic: Pawing, Wiwo Flank, Curling Oke Aaye (Flehmen), Dudu Leralera, tabi Yiyi Iwa-ipa"] --> B{"Yọ Gbogbo Ifunni kuro Lẹsẹkẹsẹ & Ṣayẹwo Awọn ohun pataki Barn 5 lailewu (Iwọn ọkan, Gums/CRT, Temperature Temple, 4-Quadrant Gut Sounds, Digital Pulses)"}
    B -->|"ÌṢẸ́ ÌRẸ̀RẸ̀> 38.6 C (101.5 F): Irẹ̀wẹ̀sì, tí kò ní oúnjẹ, àwọn àmì àkànpọ̀ ìwọ̀nba, àwọn ẹ̀fọ́ pupa bíríkì, tí wọ́n ń tẹ̀lé ẹ̀jẹ̀ màlúù tàbí gbuuru omi"| C["ÀLÀrùn / majele ti COLITIS (Ìbà Horse Potomac, Salmonella, Coronavirus, Clostridia, tabi NSAID Dorsal Colitis Ọtun)"]
    B -->|"Iwa-ipa, Irora Ailopin: Jiju ara si ilẹ, ikun ti o pọ, lagun, Oṣuwọn ọkan> 60-80+ bpm, CRT> 2.5-3 iṣẹju-aaya, awọn gomu pupa/eleyi ti, ikun ipalọlọ"| D["Idena iṣẹ abẹ (Colon Volvulus Tobi, Epiploic Intestinal Kekere/Ibanujẹ Inguinal, tabi Intussusception)"]
    B -->|"ÌRÒYÌN ÀKÚRỌ̀ ÌWÁDÚN-SI-DÚNWÁ: Pawing, nínà jáde, irọ́ parọ́rọ́, Oṣuwọn Ọkan 36-52 bpm, Pink Moist Gums (CRT <2s), Iwọn otutu Deede (<38.3 C)"| E["IṢẸRẸ IṢẸRẸ IṢẸRẸ RẸRẸ (Spasmodic/Gas Colic, Ipa Flexure Pelvic, tabi Iyanrin/Idena titẹsi)"]
    C --> F["BIOSECURITY & FLUID pajawiri: 1. Yasọtọ Ẹṣin Lẹsẹkẹsẹ (Bathbath + ibọwọ) 2. MAA ṢE fun awọn NSAIDs Ṣaaju Vet sọwedowo Hydration 3. Aggressive IV Fluids + Polymyxin B / Plasma + Ice Boots on All 4 Hooves (Dena Laminitis)"]
    D --> G["Itọkasi Isẹ abẹ Lẹsẹkẹsẹ (Awọn iṣiro iṣẹju 30 kọọkan): 1. Jeki Olutọju ni Ailewu ni Agbegbe Ṣii 2. Tirela Fifuye Lẹsẹkẹsẹ 3. Vet Pass NG Tube lẹsẹkẹsẹ lati Decompress Ìyọnu (Dena Fatal Gastric Rupture) + IV Fluids -> Iṣẹ abẹ"]
    E --> H["Veterinarian On-Farm Ayẹwo: 1. Nasogastric (NG) Tube (Ṣayẹwo fun> 2 L Reflux & Abojuto Omi + Electrolytes + Laxative) 2. Rectal Palpation / Portable Ultrasound 3. Single Vet-Directed IV Analgesic/Antispasmodic (Buscopan / Xylnazine)"]
    H --> I{"Ṣe irora pada laarin awọn wakati 1 si 2 ti itọju vet, TABI Iwọn Iwọn Ọkàn n gun> 60 bpm, TABI o wa nibẹ> 4 Liters ti NG Reflux?"}
    I -->|"BẸẸNI: Irora aṣeyọri, nyara HR, tabi NG reflux rere"| G
    I -->|"RARA: Ẹṣin duro ni itunu, o kọja maalu, awọn ohun ikun pada"| J["Tẹsiwaju Awẹ-Itọsona Vet -> Tun-fifunni diẹdiẹ (Mash tutu -> Iwọwọ Kekere ti koriko) Ju Awọn wakati 48-72 lọ"]

Apakan 1: Ifiwewe Isẹgun ti Awọn oriṣi 5 Pataki ti Colic Horse¶

Ni aijọju ** 80% si 85% ti awọn ọran colic equine yanju pẹlu itọju iṣoogun lori oko , lakoko ti ** 15% si 20% jẹ awọn iṣipopada ẹrọ, awọn ipa, tabi awọn ilọpa strangular (volvulus* ti o nilo itọju ailera ile-iwosan aladanla tabi celiotomy exploratory pajawiri (abẹ colic).

Apakan 2: Dive Jin: Bii o ṣe le Ṣayẹwo Awọn pataki Barn 5 Ṣaaju pipe Onisegun rẹ¶

Nigbati o ba pe oniwosan ẹranko equine rẹ ni 2:00 AM fun ẹṣin ti o npa, fifun wọn ** awọn nọmba ibi-afẹde marun ** lori foonu sọ fun wọn lẹsẹkẹsẹ boya wọn nilo lati pade rẹ ni opopona ti nlọ si ile-iwosan iṣẹ abẹ tabi wa si abà rẹ fun iṣẹ ṣiṣe ipa kan. (Ṣe pataki aabo ara ẹni nigbagbogbo: ti ẹṣin ba n ju ara rẹ si ilẹ, maṣe gbiyanju lati mu iwọn otutu rectal tabi tẹtisi ẹgbẹ.)

+-----------------------------------------------------------------------------+
|       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.    |
+-----------------------------------------------------------------------------+

Bii o ṣe le Wa Polusi Ẹṣin Laisi Stethoscope kan¶

Ti o ko ba ni stethoscope kan ninu ohun elo iranlọwọ akọkọ-abà rẹ, gbe awọn ika ọwọ meji ṣinṣin si ** Arun Iwoju *** nibiti o ti yipo si eti isalẹ ti egungun ẹrẹkẹ isalẹ (mandible), o kan ni iwaju iṣan ẹrẹkẹ nla yika (masseter). Ka awọn lilu fun ** iṣẹju-aaya 15 ati isodipupo nipasẹ 4 *** lati gba beats per minute (bpm).

Apá 3: Òtítọ́ Nípa Rin Ẹṣin Kọlu, Yiyi, ati Idi ti Intramuscular Banamine Ṣe Eewọ¶

1. Ṣe Yiyiyi Ṣe Nfa Ifun Yiyi, ati Elo Ni O yẹ ki O Rin Ẹṣin Koliki kan?¶

Ọ̀kan lára àwọn òfin tí ó dàgbà jùlọ tí a kò sì lóye jù lọ nínú jíjẹ́ ẹlẹ́ṣin ni “Má ṣe jẹ́ kí ẹṣin alákòóso kan dùbúlẹ̀ tàbí yípo, bí bẹ́ẹ̀ kọ́, yóò yí ìfun rẹ̀ po, máa rìn lọ́nà yòówù kí ó jẹ́.” - ** Otitọ Iṣẹ-abẹ ti Ile-iwosan: *** Awọn oniṣẹ abẹ Equine ni awọn ile-iwosan ti nkọni ni ile-ẹkọ giga ti jẹri pe ** yiyi ko ni yi atẹlẹsẹ deede kan**; dipo, gaasi distension tabi yi pada motility twists awọn oluṣafihan akọkọ, ati awọn Abajade excruciating mesenteric irora mu ẹṣin lati jabọ ara rẹ si isalẹ ki o yipo. - ** Nigbati Ririn Ṣe iranlọwọ (ati Nigbati O ba dun):** - Ma rin laiyara (15 to 20 minutes at a calm walk* ti o ba: ** (a)** ẹṣin naa ni gaasi kekere / ikolu colic, nibiti iṣipopada onírẹlẹ ṣe nfa motility ikun (peristalsis) ati iranlọwọ kọja gaasi; TABI ** (b)** ẹṣin naa n gbiyanju takuntakun lati jabọ ararẹ si isalẹ ki o tẹ sinu ibi iduro kan tabi si awọn odi, nibiti nrin n ṣe idiwọ ẹṣin naa ati ṣe idiwọ ** ibalokanjẹ ti ara ẹni (skull/orbital fractures, ruptured spleen, or casting itself upside-down against a wall)**. - ** MAA ṢE rin ẹṣin si ãrẹ: ** Ti ẹṣin ba ti rin fun 20 si 30 iṣẹju, o rẹwẹsi, o kan fẹ lati ** dubulẹ ni idakẹjẹ lori àyà rẹ (sternal recumbency) tabi alapin ni ẹgbẹ rẹ laisi ipalọlọ ***, **Duro Ririn ki o jẹ ki ẹṣin dubulẹ ni ibi aabo, ibi ibusun ti o jinna tabi padoko koriko ***. Gbigbe tipatipa ti o rẹwẹsi, ẹṣin ti npa fun awọn wakati n dinku glycogen, nmu gbigbẹ gbigbẹ ati lactic acidosis buru si, o si mu mọnamọna endotoxic pọ si.

2. Kini idi ti Flunixin Meglumine (Banamine) A KO GBODO GBODO TIN SINU ISAN (Isan).IM)¶

Ọpọlọpọ awọn oniwun ẹṣin tọju igo abẹrẹ kan Flunixin Meglumine (Banamine, 50 mg/mL) ni tack yara si ti wa ni dan lati fun a 10 mL shot sinu ọrun tabi iṣan ẹhin (IM) nigbati a ẹṣin colic. Maṣe eyi lailai, fun awọn idi-aye-tabi-iku meji: 1. ** Apaniyan Clostridial Myonecrosis ("Gas Gangrene" / Edema buburu):** - Awọn ẹṣin ti o ni ilera nipa ti ara gbe awọn spores dormant airi ti anaerobic *** Clostridium septicum *, * Clostridium perfringens *, ati * Clostridium chauvoei *** inu awọn iṣan egungun wọn (eyiti o wọ inu ikun tabi awọn pores awọ ati dubulẹ laiseniyan laiseniyan niwọn igba ti iṣan iṣan ti ni atẹgun daradara). - Abẹrẹ Banamine (pH about 8.2 to 8.5 pẹlu propylene glycol ati awọn olutọju phenol) jẹ ibinu pupọ si awọn okun iṣan. Nigbati a ba fi abẹrẹ sinu ọrun tabi iṣan gluteal, o fa ** negirosisi iṣan ischemic focal ati ki o sọ atẹgun àsopọ agbegbe silẹ si odo ***. - Laarin **12 si 48 wakati *, dormant Clostridium spores dagba inu ti o ti ku isan alemo ati ki o tu apaniyan alpha- ati beta-exotoxins ti o liquefy awọn isan ọrun ẹṣin, àgbáye awọn subcutis pẹlu awọn nyoju gaasi gbigb'oorun.crepitus), nfa toxemia eto-ara, ati ** pipa 25% si 35% + ti awọn ẹṣin ti o kan ** paapaa pẹlu ifasilẹ abẹ-ara ti gbogbo ẹgbẹ ti ọrun. - ** Ofin Ipa-ọna Ailewu: *** Ti dokita rẹ ba fun ọ ni aṣẹ ni gbangba lori foonu lati ṣakoso Banamine (lẹhin ti o ti royin awọn pataki pataki 5), boya ra FDA-fọwọsi Banamine Paste, tabi fa omi abẹrẹ soke Banamine ninu syringe kan LAISI abẹrẹ ki o si fi ẹnu rẹ si igun ẹnu ẹṣin (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). Onisegun nikan tabi onimọ-ẹrọ ti oṣiṣẹ ti o ni oye ni iṣọn-ẹjẹ aseptic jugular venipuncture yẹ ki o ṣakoso IV Banamine (isonu iṣọn jugular ati abẹrẹ sinu iṣọn carotid ** fa aw ijagba nla-mala lẹsẹkẹsẹ ati iku). 2. Ṣiṣe Volvulus Iṣẹ-abẹ: - Banamine jẹ cyclooxygenase ti o lagbara (COX) inhibitor ti o ṣe idiwọ irora visceral ti o ni agbedemeji prostaglandin ti o si ṣokunkun iba/tachycardia ibẹrẹ ti endotoxemia. - Ti o ba ti a ẹṣin ni o ni ohun tete ** strangulating kekere ifun egbo tabi oluṣafihan volvulus ***, fifun Banamine ṣaaju ki oniwosan ẹranko to de le jẹ ki ẹṣin duro ni idakẹjẹ ati nibble fun ** 2 si 4 wakati ** lakoko ti iṣan ifun inu ifun inu ti o faragba ischemic negirosisi ti ko yipada lẹhin awọn iṣẹlẹ.

Apá 4: Ohun ti Veterinarian yoo Se Lori-Aaye & Bi o si Aami eke "Iyanu Imularada" (Gastric Rupture)¶

1. On-Farm Veterinary Colic Workup¶

Nigbati oniwosan ẹranko ba de, ni garawa ti omi gbona kan, ibi iduro, ati ina to dara ti ṣetan: 1. NasogastricNG) Intubation (Ti nkọja Iyọ Tube): Mejeeji ** idanwo idanimọ kan ** ati itọju igbala-aye kan . Oniwosan ẹranko n kọja tube kan soke iho imu sinu ikun ati ṣẹda siphon kan. - Ni deede, ikun equine n so eso < 1 to 2 Liters ti omi. - Ti o ba jẹ 4 to 15+ Liters ti olfato buburu, osan-brown, alkaline (pH > 6) omi inu ifun kekere n jade (Positive Nasogastric Reflux, ifun kekere ti dina mọto ẹrọ (strangulation tabi anterior enteritis), ati pe oniwosan ẹranko ti gba ikun kuro lọwọ ruptting. - Ti o ba wa ** reflux odo , awọn ifasoke vet 4 to 8 Liters ti gbona omi, iwontunwonsi electrolytes, ati Magnesium Sulfate (awọn iyọ Epsom, 0.5 to 1 g/kg) tabi Mineral Oil (2 to 4 Liters sinu ikun lati hydrate kan ti o tobi oluṣafihan ikolu. 2. ** Palpation Transrectal & Olutirasandi Inu ti o ṣee gbe (FLASH Idanwo):** Ṣe idanimọ ipa iyipada ibadi kan, cecum-distended gaasi, awọn ẹgbẹ mesenteric ti o ni wiwọ, tabi awọn yipo ifun kekere ti o ti fẹ. > 5 cm (2 inches) pẹlu awọn odi edematous ti o nipọn (> 4 mm). 3. Abdominocentesis ("Ikun Tẹ ni kia kia"): Omi inu peritoneal deede jẹ ** koriko-ofeefee (lactate < 2 mmol/L). ** Serosanguinous (ti o ni ẹjẹ tabi brown turbid) ito peritoneal pẹlu lactate ti o ga (> 4 mmol/L)** fihan pe apakan ifun ti wa ni strangulated, ti o paṣẹ iṣẹ abẹ lẹsẹkẹsẹ.

2. Pakute Ibanujẹ pupọ julọ ni Oogun Equine: “Iderun Irora” lojiji Lati inu ikun tabi Cecal Rupture¶

Ti ẹṣin ba wa ni ** irora colic iwa-ipa fun awọn wakati *** pẹlu oṣuwọn ọkan ti 80 to 100 bpm ati ** lojiji, laarin iṣẹju 5 , duro yiyi, duro jẹ pẹlu ori rẹ ti o kọkọ rọlẹ, o dabi "tunu": - Maṣe ro pe colic ti wo ararẹ. Ṣayẹwo awọn gos, pulse, ati awọ ara lẹsẹkẹsẹ. - Ti ẹṣin ba jẹ ** duro laisi iṣipopada, iwariri, ti rì ninu lagun tutu, pẹlu iwọn ọkan ti 100 to 120+ bpm, eleyi ti/ẹmu gomu, ati iwọn otutu rectal ti n lọ silẹ (< 36.5 C / 97.7 F, ikun ti o ya tabi cecum ti ya (perforated*** inu ikun. - Ni kete ti ogiri ikun ba ṣii, awọn olugba isan duro duro ibọn (nitorinaa irora yiyi lọ kuro), lakoko 15 Liters ti inu acid ati kokoro arun ikun omi inu iho peritoneal, ti o nfa ijaya septic apaniyan laarin wakati 1 si 3 ***.

• (Fun ẹran-ọsin ti o jọmọ ati awọn pajawiri oko, wo Bọti ẹran-ọsin: pápá ìjẹko frothy, rumen tympany, iwẹ inu, ati pajawiri trocar, Koriko abà ijona lẹẹkọkan ati tutu baled alfalfa, ati Eso majele, hogweed nla, ati awọn èpo koriko majele.)*

Awọn nọmba pajawiri agbegbe ati awọn ilana ile-ibẹwẹ¶

Awọn ibeere ti a beere nigbagbogbo¶

Jẹmọ awọn itọsọna¶

• Bọti ẹran-ọsin: pápá ìjẹko frothy, rumen tympany, iwẹ inu, ati pajawiri trocar
• ijona lẹẹkọkan abà koriko, alfalfa baled tutu, ati awọn iloro iwadii thermometer
• Hemlock majele, hogweed nla, ati awọn èpo koriko majele ti parsnip igbẹ
• Arun adie adie ehinkunle, irufin coop aperanje, ati wahala igbona ẹran-ọsin
• Awọn nọmba pajawiri

Awọn orisun ati osise itoni¶

• ** Ẹgbẹ Amẹrika ti Awọn oṣiṣẹ Equine (AAEP):** * Equine Colic: Iwadii Iṣoogun ti Iṣoogun vs. Irora Inu Inu abẹ, Imukuro Nasogastric, ati Itọkasi Tete *.
• ** Ẹgbẹ Equine ti ogbo ti Ilu Gẹẹsi (BEVA), British Horse Society (BHS), & Yunifasiti ti Nottingham: *** Awọn REACT Bayi lati Lu Ipolongo Triage ti o Da lori Ẹri Colic *.
• ** Ile-ẹkọ giga ti Ilu Amẹrika ti Oogun ti Inu ti ogbo (ACVIM) & ACVS:** * Awọn Gbólóhùn Ifọwọsowọpọ lori Iwọn Volvulus Tobi, Iyọ Ifun Kekere, ati Clostridial Myonecrosis lati IM Flunixin Meglumine *.
• ** Afọwọṣe ti ogbo ti Merck: *** Akopọ ti Colic ninu Awọn ẹṣin: Rupture Gastric, Ipa Flexure Pelvic, ati Endotoxic Laminitis.