home
about the project
Medical news
For authors
Licensed books on medicine
<< Previous Next >>

Maternity paresis (coma puerperalis)

Acute, sudden, severe neural disease, manifested by a paralytic state of the pharynx, tongue, intestines, and limbs. The disease is more often recorded in cows, less often in sheep and goats, and very rarely in pigs.

The etiology of postpartum paresis is an unresolved issue; the specific causes of the disease have not been fully elucidated. According to the theory of hypoglycemia, postpartum paresis is associated with a decrease in the blood sugar of the woman in labor due to increased pancreatic function, which produces an increased amount of insulin.

Some researchers believe that postpartum paresis occurs as a result of acute hypocalcemia, manifested by a decrease in calcium in the blood against a background of increased phosphorus and magnesium. Hypocalcemia occurs as a result of increased excretion of calcium salts with milk or inhibition of the function of the parathyroid glands. There is reason to believe that overstrain of the nervous system and, in particular, analyzers of the cerebral cortex to impulses coming from the baro- and chemoreceptors of the genital apparatus and other internal organs directly or indirectly involved in the birth act is of great importance in the etiology of the disease. As a rule, postpartum paresis develops in highly productive cows at the age of 5–8 years, of overweight condition when feeding a large amount of protein feed. Cows become ill after a light, quick birth. The stall content predisposes to the development of postpartum paresis. In heifers, as a rule, postpartum paresis is not noted. The disease can recur and occur in daughters of highly productive cows.

Symptoms and course. Postpartum paresis in cows is usually recorded in the first three days after birth, sometimes it can develop several weeks or months after calving, and very rarely in pregnant animals or during childbirth. The disease begins with general depression or short-term agitation. There is no appetite, chewing gum disappears. The movements of the animal are uncertain, there is a general tremor or twitching of the muscles of the croup and limbs. The cow lies with bent limbs, with dilated pupils, half-closed eyes, head thrown back to the side. Tactile and painful skin sensitivity is dulled, body temperature drops to 35-36 ° C, the whole body of the animal is cold, especially the base of the horns and limbs. The neck is S-shaped. Tearing is noted, and then the cornea dries up and becomes cloudy, the pulse becomes weak, breathing is shallow, slow, then wheezing appears, the act of swallowing is disturbed. Salivation and loss of tongue may be observed. Peristalsis is absent, bowel movements and urination cease. In the rectum, dry, dense feces are found, the bladder is full.

With a mild form (atypical form) in the animal, depression, lack of appetite are noted. Body temperature is within normal limits or slightly decreases (37-37.5 ° C). Observe a characteristic S-shaped curvature of the neck.

In sheep and goats, postpartum paresis occurs in the first 1-3 days after birth and proceeds with the same symptoms as in cows.

In pigs, postpartum paresis is observed on the 2nd-4th day after farrowing.
The general condition of the animals is depressed, the appetite is poor, there are no pain tactile signs. Limb paralysis is noted. Body temperature drops to 37-37.5 ° C. The sow lies on its side motionless.

The prognosis without timely treatment is unfavorable. With timely treatment, 90% of patients recover. In the absence of medical care, the animal dies within 1-3 days from tympanum or aspiration bronchopneumonia.

Treatment. Air is pumped into the mammary gland using the Evers apparatus. Before air is injected, the cow is placed in a dorsal lateral position, milk is dispensed, the tops of the nipples are treated with a swab moistened with a 70% alcohol solution. Air is pumped into each quarter gradually until a tympanic sound appears and the skin folds are completely smoothed out; Gauze dressings are applied to the nipples and a light massage of the udder is performed to evenly distribute the air. The limbs, croup and lower back of the cow are rubbed with a plait of straw or hay and covered with a blanket. 20-30 ml of a 20% caffeine solution are injected subcutaneously.

With aerotherapy, cow recovery usually occurs in the first 2–3 hours, and sometimes earlier. Signs of recovery are the appearance of trembling throughout the muscles, fever and the appearance of peristalsis. Then the cow extends its neck, limbs, closes its eyes and stands up.

In the absence of a therapeutic effect, repeated blowing of air is carried out after 6-8 hours. Bandages from the nipples are usually removed 30 minutes after the procedure. In addition to aerotherapy, with postpartum paresis of cows, the introduction of fresh milk in all quarters of the udder (3-4 l) gives good results; intravenously 20% glucose solution in a dose of 200-300 ml and 100-150 ml of a 10% solution of calcium chloride.

With the development of tympanum, a scar is pierced with a trocar or needle and 20-40 ml of a 40% formalin solution or 300-400 ml of a 5% alcohol solution of ichthyol are injected into its cavity. Milking a cow is recommended 1-2 hours after getting up, while you can not squeeze the air from the udder.

In sheep and goats, aerotherapy is used to treat postpartum paresis. In pigs with puerperal paresis, cereals and limbs are rubbed with a straw or cloth, and the area of ​​the mammary glands is massaged by rubbing camphor oil in them. Inside appoint laxatives (calomel 1 g, castor oil 100 g). A warm sugar solution (100 g sugar per 700-8 00 ml of water) is injected into the rectum.

Prevention Pregnant animals provide complete feed. Two weeks before giving birth, silage is excluded from the diet and the amount of concentrated feed is reduced. During the stall period, animals are given daily walks in the fresh air. Highly productive cows, as well as those who had previously had postpartum paresis and their daughters, are given vitamin D2 twice at a dose of 3 million IE and 4 million IE per day of calving 7-10 days before calving. During obstetric medical examination of dry cows 7-10 days before calving, the biochemical status of the body is determined, especially the content of total calcium, inorganic phosphorus and sugar in serum. If necessary, mineral additives and sugar are added to the diet of cows.
<< Previous Next >>
= Skip to textbook content =

Maternity paresis (coma puerperalis)

  1. Postpartum endometritis (endometritis puerperalis)
    This is an acute inflammation of the uterine mucosa, mainly of a purulent-catarrhal nature, which occurs more often on the 8-10th (sometimes 3-6th) day after childbirth. Postpartum endometritis occupies a significant place among obstetric and gynecological pathologies in cows and leads to temporary or permanent infertility. Etiology and pathogenesis of endometritis. Postpartum endometritis in cows most often
  2. Postpartum sepsis (sepsis puerperalis)
    Postpartum sepsis, or general postpartum infection (maternal fever), is a serious general disease of an animal that occurs as a result of the ingestion of pathogenic microbes and their toxins, as well as tissue decay products from the inflammatory focus in the genitals and less often from foci of a latent infection. There are foci of postpartum sepsis: the uterus with gangrenous and necrotic
  3. Postpartum eclampsia (eclampsia puerperalis)
    Postpartum eclampsia is an acute nervous disease characterized by sudden onset of seizures of tonic-clonic seizures. The disease is observed in dogs, less often in cats and pigs. Postpartum eclampsia in its typical form occurs only in humans, and in animals the disease in etiology and course partly resembles “true” eclampsia - to a greater extent in pigs, to a lesser extent in dogs (in
  4. Paresis and paralysis
    This is a complete or incomplete termination of the functions of nerves or muscles. Cessation of nerve function can occur in various ways, depending on where the conduction of the nerve trunk is impaired. If the initial location of the outcome of the motor impulse is affected, i.e. cerebral cortex, cerebral palsy occurs; if nerve conduction is disturbed throughout the spinal cord - spinal;
  5. PARESIS AND PARALYSIS
    Paresis is incomplete, and paralysis is the complete inhibition of the motor function of one or another organ, caused by damage to various parts of the nervous system. The causes of paresis and paralysis can be diseases of the nervous system, infections, poisoning, vitamin deficiencies and metabolic disorders, as well as injuries, bruises and other injuries accompanied by mechanical compression of nerve fibers. Symptoms: function
  6. Myopathic paresis of the larynx
    Occupational diseases of the voice that disrupt long-term disability include myopathic paresis of the larynx (Figure 3). With myopathic paresis of the larynx, pathological changes are localized in the muscles themselves. They are observed in acute and chronic laryngitis, when microbes or their toxins penetrate into the interfibrillar tissue and cause small cell infiltration of the latter. These
  7. Organization of work in maternity wards (sections)
    When organizing maternity wards, you must strictly follow the rules of pet hygiene and special instructions. A special room is reserved for the maternity ward. It should be dry, bright, spacious, with tiled walls and a warm floor. On large dairy complexes there is a maternity workshop (calving workshop), consisting of 3 sections: prenatal, birth and postpartum and
  8. Childbirth outside the maternity hospital
    The scope of the examination 1. At the prehospital stage, childbirth is possible at home, in the car interior of the NSR, in outpatient facilities, in transport. 2. Birth outside the maternity hospital is more likely to occur in a full-term pregnancy in women who have been pregnant, or premature pregnancies. 3. Usually childbirth outside the hospital is rapid, sometimes premature. 4. For quick or
  9. PARALYSIS AND PARESIS OF THE MUSCLES OF THE FOOT
    Paralysis and paresis of the muscles of the foot are observed in almost all patients with spinal injury. In standard practice, patients under the plantar area of ​​the feet put all kinds of rollers, fixing the foot and lower leg at an angle of 90 ° (an artificial ankle joint is formed). We have developed a method that allows you to quickly and effectively eliminate paralysis of the muscles that raise the foot. FROM
  10. Organization of inpatient obstetric and gynecological care. Maternity hospital. Tasks, structure, performance indicators.
    PURPOSE OF THE LESSON: to study the general provisions on the organization of inpatient obstetric and gynecological care in the Russian Federation, to know the tasks, structure and organization of work of the maternity hospital. To study the features of the organization of work in various departments of the hospital of the maternity hospital (pathology of pregnancy, obstetric, newborns, gynecological), the functional responsibilities of medical personnel. Master the technique
  11. INSTRUCTIONS FOR COMPLETING THE PRIMARY AND RESEARCH CARE CARD FOR A NEWBORN IN THE MATERNITY HOSPITAL
    "Card of primary and resuscitation care for a newborn in the maternity ward" - registration form 097-1 / y-95 is filled out for each newborn in all medical institutions where obstetric care is provided, by a doctor (neonatologist or obstetrician-gynecologist) or, in the absence of doctor, midwife after completion of the intensive care unit. Is an insert sheet
  12. Recommendations for independent work of IV year students on duty in the maternity hospital
    Duty hours: from 20.00 to 8.00. Place of duty: Maternity hospital: emergency department, department of pregnancy pathology, birth block, operating unit, children's department. The student must come to night watch in a clean robe, cap, replaceable clothes and leather shoes: have a clean mask, shoe covers, a measuring tape, phonendoscope, calendar and a duty line signed by the assistant.
  13. SUMMARY OF PERIPHERAL AND CENTRAL PARESIS

  14. SUMMARY OF PERIPHERAL AND CENTRAL PARESIS

Medical portal "MedguideBook" © 2014-2019
info@medicine-guidebook.com