4 Treatment

Transcript

So in previous lessons we have seen about the definition,

Etiopathogenesis, clinical findings, and the diagnostic methods of postpartum Hemoglobinuria.

In lesson number four what we are going to see is the treatment and management. So, first and foremost treatment that is going to be that is most important in case of cause with postpartum hemoglobinuria is blood transfusion. So whole blood transfusion should be done in severe cases. See a delay of 12 hours will result in or will cause an irreversible change. So, the amount of blood required is 5 liter of blood for a 450 kg cow. So additional transfusion will be required if the patient is weak and if the mucous membrane is pale. Supportive therapy is to be given in order to prevent the hemoglobinuric nephrosis so, in order to avoid the danger of the hemoglobinuric Nephrosis. Phosphorus can be administered, or next is the supplementation of phosphorus. Phosphorus can be administered as sodium acid phosphate intravenously at the rate of 60 gram in 300 ml distilled water followed by a subcutaneous injection, and further subcutaneous injections can be given at 12 hours interval on three occasions, and similar doses can also be given orally daily. This is regarding the phosphorus, and other sources of phosphorus includes Oral dosing with diet bone meal that is 120 gram of bone meal twice daily or dicalcium phosphate or a suitable source of phosphorus and calcium daily for five days can be given. It can be included in the ration. And haematinics because there is the animal becomes more anaemic. Haematinics should be given it can be given in the convalescence period and as I told you Ketosis is also one of the most important disorder along with postpartum hemoglobinuria in the immediate postpartum period. Ketosis is a common complication and hence additional treatment is to be given in order to treat the ketosis in along with the postpartum hemoglobinuria treatment. And next one is the as you all know Ascorbic Acid. It is an important antioxidant along with phosphorus treatment should be given in order to provide an antioxidant property to prevent the rupture of the erythrocytes, and Copper again as I told one of the important causes for postpartum hemoglobinuria is copper so copper deficiency. Copper can be supplemented in the form of glycinate copper at the rate of 1.5 milligram per kg dissolved in 500 ml of normal saline can be given intravenously, or else copper sulphate can be given at the rate of 3.5 gram orally it can be given to supplement copper. Another thing is fibrinolytic agents can be given in order like Epsilon amino caproic acid (EACA) at the rate of 20 gram in 540 ml of normal saline intravenously (NS-IV). Para amino benzoic acid (PAMBA) at the rate of 300 milligram in 540 ml of normal saline can be given intravenously (NS-IV) and because it’s having haemoglobinuria we can go for Botropase at the rate of 10 ml in 20 ml of normal saline intravenously (NS-IV) other than this vitamin A, D and E injection can be given at the rate of 5 ml per animal because D will supplement. It will improve the intestinal absorption of the Phosphorus. So, this will help to prevent the animal in getting postpartum haemoglobinuria.

So, I hope you would have understood about the postpartum haemoglobinuria and, the definition about the causes and how the causes leads to the genesis of the postpartum haemoglobinuria, clinical findings and diagnostic methods and also the treatment and management of postpartum in postpartum haemoglobinuria in immediate postpartum period of dairy cattle.

Hope you all enjoyed the class.

Thank you for your attention.