Muaj tseeb gastric ulcer yog ib yam kab mob uas tshwm sim hauv nyab nyuj sib nraus thiab nyuj. Tiag tiag plab rwj yog hais txog erosive o ntawm qhov tseeb gastric mucosa thiab nws cov ntaub so ntswg sib sib zog nqus. Perforation tuaj yeem tshwm sim yog tias muaj qhov mob hnyav tag nrho ntawm cov phab ntsa hauv plab tshwm sim, feem ntau ua rau cov kab mob hauv zos lossis cov kab mob peritonitis. Yog hais tias cov ntsiab lus ntawm lub plab muaj tseeb exudate ntau, feem ntau ntawm cov nyuj muaj kab mob tuaj yeem ua rau sepsis lossis autopoisoning thiab tuag. Kev kuaj mob ntawm lub plab rwj tiag yog nyob ntawm kev kuaj lub cev, kev cais tawm thiab lub plab zom mov.
1. Qhov ua rau
Qhov tshwm sim ntawm qhov tseeb plab rwj nyob rau hauv feem ntau mis nyuj muaj feem xyuam rau kev noj zaub mov hnyav thiab noj zaub mov kom siab. Thaum noj zaub mov muaj ntau cov pob kws ntub dej lossis pob kws silage, nyuj raug kev txom nyem los ntawm ntau qib ntawm rumen acidosis, uas feem ntau ua rau tus kab mob. Calving kev ntxhov siab tuaj yeem ua rau mob plab hnyuv, uas yog txiav txim los ntawm cov yam ntxwv metabolic ntawm perinatal nyuj nyuj. Kev ntxhov siab ntawm kev thauj mus los kuj yog ib qho ntawm cov inducing yam. Ntau tus nyuj tuaj txawv teb chaws raug kev txom nyem los ntawm cov kab mob loj heev kom cais tawm chaw ua liaj ua teb. Tsis tas li ntawd, cov nyuj uas tau txais txiaj ntsig zoo yog qhov ua rau mob plab hnyuv, vim tias qhov nce ntawm lub plawv tawm mus rau lub mis yuav ua rau qis qis qis ntawm lub plab viscera, uas yog qhov ua rau mob plab tiag tiag.
Qhov tshwm sim siab thiab pathogenesis ntawm cov kab mob plab hauv cov neeg laus nyuj zoo ib yam li cov kab mob plab hnyuv loj, thiab ob hom kab mob tuaj yeem tshwm sim tib lub sijhawm lossis ob qho tib si rau ib leeg. Feem ntau poj niam nyuj Nrog rau kev kho mob tshwm sim ntawm lub plab rwj tiag tiag mloog zoo rau qhov pib ntawm 4-6 lub lis piam tom qab yug me nyuam, uas yog ze ze rau kev ntxhov siab thiab plab hnyuv retardation.
Lwm qhov xwm txheej siab ntawm kab mob nyob rau hauv cov neeg laus nyuj yog ua ntej calving, uas tej zaum yuav muaj feem xyuam rau siab dua cardiac tso zis rau tus me nyuam hauv plab uas ua rau muaj zog plasma cortisol thiab txo qhov tseeb gastric perfusion. Tiag tiag gastritis, mob plab, thiab ulcer syndrome feem ntau tshwm sim nyob rau hauv cov nyuj, thiab qhov tseeb yog tseem tsis paub. Kev siv NSAIDs hauv cov nyuj thiab cov neeg laus noj nyuj kuj tseem tuaj yeem ua rau mob plab hnyuv, uas yog ib qho ntawm cov kev mob tshwm sim ntawm NSAIDs. Lymphosarcoma nyob rau hauv lub plab tiag tiag ntawm cov nyuj laus kuj tuaj yeem ua rau los ntshav rwj ntawm lub plab tiag.
2. Cov tsos mob
Raws li cov ntshav thiab perforation ntawm cov nyuj muaj kab mob thiab qhov hnyav ntawm tus kab mob, tus mob plab rwj tiag feem ntau tuaj yeem muab faib ua peb hom. Mob plab thiab los ntshav me me. Ob peb erosions lossis superficial ulcers tshwm sim nyob rau hauv lub plab tiag tiag ntawm cov nyuj muaj kab mob, nrog los yog tsis muaj los ntshav me ntsis. Cov tsos mob ntawm qhov mob plab tiag tiag nrog cov ntshav me me tsis pom tseeb, thiab nws nyuaj rau kev kuaj mob hauv tsev kho mob. Kev sau cov qauv fecal yuav tsum tsis txhob kuaj qhov quav kom tiv thaiv cov ntshav tsis zoo occult.
Hemorrhagic ulcer. Raws li pom tseeb cov quav dub ntawm cov nyuj, thawj qhov kev kuaj mob tuaj yeem ua tau. Cov kab mob nyuj uas muaj cov quav zoo li qub tuaj yeem kuaj tau los ntawm kev siv hematocrit, ntshav cov protein tag nrho, fecal occult ntshav thiab lub cev qhuav dej.
Perforating rwj. Hauv nyuj ua liaj ua teb, perforated gastric rwj tuaj yeem pom nyob rau hauv cov nyuj, cov tub ntxhais hluas thiab cov neeg laus nyuj ntawm txhua theem, thiab nws feem ntau tshwm sim hauv cov nyuj 1-6 lub lis piam tom qab yug me nyuam. Raws li qhov loj thiab qib ntawm perforation, qhov kev kho mob tshwm sim txawv heev. Calves nrog perforated tseeb lub plab zom mov muaj feem yuav kis tau tus kab mob peritonitis ntau dua li cov nyuj laus. Qhov chaw mob nyob rau hauv cov mob hnyav yog ib qho yooj yim rau kev kuaj mob, tab sis nws yog ib qho nyuaj rau nrhiav tau qhov mob nyob rau hauv subacute los yog mob ntev, thiab nws yog ib qho nyuaj rau paub qhov txawv los ntawm traumatic gastroenteritis. Yog hais tias tus nyuj yog nyob rau hauv nruab nrab-lub sij hawm lactation theem, muaj peev xwm ntawm ib tug tiag tiag plab ulcer yog tsawg.
Thaum diffuse peritonitis tshwm sim hauv cov nyuj laus thiab nyuj, cov tsos mob pib ua rau mob hnyav thiab tam sim no septic shock. Kev kuaj ntshav fecal occult, hematocrit, thiab tag nrho cov ascites protein yog qhov tseem ceeb rau kev kuaj mob rau qhov xav tias hemorrhagic gastric ulcers. Serum albumin thiab tag nrho cov protein txo qis vim yog cov protein ntau nkag mus rau hauv plab kab noj hniav. Thaum diffuse peritonitis theem nrab mus rau qhov tseeb gastric perforation tshwm sim nyob rau hauv cov mis nyuj nyuj, lub peritoneal puncture yuav paub meej tias qhov kev kuaj mob: tag nrho cov khib nyiab thiab tag nrho cov protein nyob rau hauv ascites nce, tab sis ntshav dawb nyob rau hauv ib co mob mob yog heev tsawg.
3. Kev Ntsuas Tseem Ceeb
Mis nyuj 'cov kab mob plab hnyuv loj (qhov yaig) feem ntau yog tshwm sim los ntawm kev mob plab plab, mob plab, thiab plab plab. Kev kuaj mob ntawm lub plab rwj tiag yog nyob ntawm kev kuaj lub cev, kev cais tawm thiab lub plab zom mov. Feem ntau nws nyuaj rau kuaj tus nyuj mob ua ntej nws tuag. Kev kuaj mob ntawm hemorrhagic plab ulcers yog raws li daj ntseg mucosa, lub plawv dhia siab, cov quav dub, qis PCV thiab hypoproteinemia. B-hom ultrasonography muaj txiaj ntsig zoo hauv kev kuaj mob ntawm diffuse peritonitis hauv cov nyuj thiab cov nyuj laus.
4. Kev kho mob
Tshwj tsis yog cov nyuj noj mis raug kev txom nyem los ntawm kev mob plab hnyuv, feem ntau ntseeg tias kev kho tshuaj yog qhov kev kho mob zoo tshaj plaws rau perforating ulcers, nyuj ranchers tsis tas yuav xav txog kev phais suture. Cov kev kho mob thiab kev saib xyuas ntawm perforating tiag tiag plab rwj nrog rau theem nrab focal peritonitis muaj xws li kev noj haus thiab kev kho tshuaj. Silage thiab high humidity pob kws yuav tsum tau tso tseg nyob rau hauv cov mis nyuj noj nyuj noj rau 1-2 lub lis piam, thiab fiber ntau xws li cov quav nyab zoo yuav tsum tau nce nyob rau hauv cov mis nyuj noj.
If ketosis tshwm sim vim kev noj zaub mov tsis muaj zog, cov khoom noj uas muaj hmoov txhuv nplej siab xws li cereals tuaj yeem muab tau zoo. Kev kho tshuaj suav nrog kev tswj hwm cov tshuaj tua kab mob dav dav rau 7 mus rau 14 hnub los tswj cov kab mob peritonitis. Kev daws nrog lwm yam teeb meem, xws li hypocalcemia lossis ketosis, tshwm sim thaum lub sijhawm nyuj mob. Corticosteroid cov tshuaj hormones thiab cov tshuaj uas tsis yog-steroidal anti-inflammatory siv tshuaj yog txwv tsis pub los tiv thaiv lub aggravation ntawm ulceration.
Feem ntau cov neeg mob xav tau 5 mus rau 14 hnub kom rov zoo, thiab kev hloov kho kev noj haus yuav tsum txuas ntxiv mus kom txog rau thaum cov tsiaj muaj mob zoo. Ib qho me me ntawm los ntshav rwj ntawm lub plab tiag tiag, raws li kev kho mob saum toj no ntawm perforating ulcer txoj kev kho cov zaub mov, thiab muab cov tshuaj tiv thaiv acid-ceev los yog astringent, feem ntau tuaj yeem kho. Cov neeg mob uas muaj cov kab mob sib kis los yog cov kab mob metabolic yuav tsum tau kho kom haum.
Cov kab mob plab tiag tiag ua rau cov ntshav loj hauv cov nyuj tuaj yeem ua rau tuag taus. Kev kho tshuaj thiab kev noj zaub mov kom raws sijhawm yog xav tau. Cov txheej txheem ntawm kev hloov kho kev noj haus thiab qhov ncauj antacid tiv thaiv yog tib yam li saum toj no. Tus yuam sij rau kev kho mob yog txiav txim siab seb puas yuav tsum tau txhaj ntshav. Yog tias pom cov mucosa daj ntseg, lub plawv dhia siab tshaj 100 tus neeg ntaus ib feeb thiab ua pa nrawm nrawm, feem ntau yuav tsum tau txhaj ntshav los pib ua haujlwm them nyiaj thiab kho qhov txhab.
Kev noj qab haus huv ntawm bovine ntshav ntawm 4-6L yuav tsum tau muab tso rau hauv cov xwm txheej dav dav. Muaj 11 pawg ntshav hauv cov nyuj, uas feem ntau tsis ua rau cov tshuaj tiv thaiv kab mob, thiab kev sib tw sib tw tuaj yeem raug tshem tawm. Cov neeg pub ntshav zoo tshaj plaws yuav tsum yog nyuj nrog qhov tsis zoo bovine leukemia virus (BLV) thiab bovine viral diarrhea tus kab mob (BVDV). Feem ntau, ib qho kev hloov ntshav ib zaug yog txaus los tswj tus mob, thaum tseem tau txais lub sijhawm rau kev kho cov zaub mov, tshuaj thiab kho qhov txhab. Cov tsiaj txhu muaj kab mob yuav tsum tau txhaj ob lossis ntau dua.