Kısraklarda Doğum Sonrası Metritisin Sebepleri ve Tedavisi

Yıl 2019, Cilt: 16 Sayı: 1, 57 - 59, 25.03.2019

Yaşar Akar

https://doi.org/10.32707/ercivet.537998

Öz

Kısraklarda doğum sonrası metritis görülme sıklığı düşüktür, fakat doğum sırası yaralanma ve yavru zarlarının atılamadığında ise artmaktadır. Postpartum metritis; genital bölgenin yaralanması, uterus durgunluğu ve yavru zarları-nın atılamaması ile ilişkilidir. Yaygın olarak tespit edilen bakteriler; E. coli, Pseudomonas aeruginosa, Klebsiella pneu-moniae, Streptococcus zooepidemicus, beta hemolitik streptokoklar ve stafilokoklardır. Tedavi; uterus yıkaması, oksito-sin kullanımı, kontrollü egzersiz, damar içi sıvı verilmesi, geniş spektrumlu antibiyotik ve antiinflamatuvar kullanımını içermektedir. Bu derlemede, son literatürler ışığında kısraklarda doğum sonrası görülen metritisin sebepleri ve tedavisi değerlendirildi.

Anahtar Kelimeler

Kısrak, metritis, postpartum, sebep, tedavi

Kaynakça

• 1. Akar Y, Yıldız H. Puerperal dönem sorunları. Kaymaz M. Fındık M. Rişvanlı A. Köker A. eds. In: Kısraklarda Doğum ve Jinekoloji. Birinci Baskı. Malatya: Medipres Yayıncılık, 2015; ss. 217-43. 2. Akar Y. Causes and treatment of uterine prolapse and ınvagination of horn uterine in mares. FÜ Sağ Bil Derg 2013; 27(1): 57-60. 3. Akar Y. The causes and therapy of retained placenta in mares. FÜ Sağ Bil Derg 2012; 26 (2): 125-30. 4. Aoki T, Yamakawa K, Ishii M. Factors affecting the incidence of postpartum fever in heavy draft mares. J of Equi Vet Sci 2014; 34: 719-21. 5. Blanchard TL, Varner D, Scrutchfield W. Management of dystocia in mares: retained placenta, metritis and laminitis. Comp Cont Educ Pract Vet 1990; 12: 563. 6. Blanchard TL. Pospartum metritis. McKinnon AO. Squires EL. Vaala WE. Varner DD. eds. In: Equine Reproduction. Second Edition, London: Blackwell, 2011; pp. 2530-3. 7. Cadario ME. Pospartum metritis. Carleton CL. ed. In: Blackwell's Five-Minute Veterinary Consult Clinical Companion: Equine Theriogenology. Second Edition, West Sussex: Willey-Blackwell, 2011; pp. 448-58. 8. Card C, Lopate C. Infectious diseases of the puerperal period. Youngquist RS. Threlfall WR. eds. In: Current Therapy in Large Animal Theriogenology. Second Edition, Philadelphia: Saunders, 2007; pp. 138-44. 9. England GCW. Other post-partum problems. England GCW. eds. In: Fertility and Obstetrics in the Horse. Thirth Edition, Oxford: Blackwell, 2005; pp. 178-83. 10. Frazer GS. Disorders of the reproductive tract. Reed SM, Bayly WM, Sellon DC. eds. In: Equine Internal Medicine. Fourth Edition, Missouri: Elseviers, 2017; pp. 1217-364. 11. Frazer GS. Postpartum complications in the mare. Part 2: Fetal membrane retention and conditions of the gastrointestinal tract, bladder and vagina. Equine Vet Edu 2002; 14(5): 50-9. 12. Hackett ES, Orsini JA, Divers TJ. Equine emergency drugs: approximate dosages and adverse reactions. Orsini JA. Divers TJ. eds. In: Equine Emergencies Treatment and Procedures. Thirth Edition. St. Louis: Saunders Elsevier, 2007; pp. 739-52. 13. Hemberg E, Lundeheim N, Einarsson S. Retrospective study on vulvar conformation in relation to endometrial cytology and fertility in Thoroughbred mares. J Vet Med A Physiol Pathol Clin Med 2005; 52(9): 474-7. 14. Hurtgen JP. Pathogenesis and treatment of endometritis in the mare: A review. Theriogenology 2006; 66: 560-6. 15. Jackson PGG. Handbook of Veterinary Obstetrics, Second Edition, China: Saunders, 2004; pp. 209-31. 16. LeBlanc MM. Diseases affecting multiple sites. Colahan PT. Merritt AM. Moore JN. Mayhew IG. eds. In :Equine Medicine and Surgery. Fifth Edition, St Louis: Mosby 1999; pp. 1148-57. 17. Munroe G, Camphell M, Munroe Z, Hanks M. Female reproductive tract. Munroe G. Weese JS. eds. In: Equine Clinical Medicine, Surgery, and Reproduction. First Edition, London: Manson, 2011; pp. 242-325. 18. Noakes DE, Parkinson TJ, England GCW. Infertility in the mare. Noakes DE. Parkinson TJ. England GCW. eds. In: Arthur's Veterinary Reproduction and Obsestetrics, Eighth Edition, China: Saunders, 2001; 577-620. 19. Perkins NR, Frazer GS. Reproductive emergencies in the mare. Vet Clin N Am: Equine Pract 1994; 10: 643-70. 20. Ricketts SW, Mackintosh ME. Role of anaerobic bacteria in equine endometritis. J Reprod Fertil Suppl 1987; 35: 343-51. 21. Tibary A, Fite CL. Reproductive tract infections. Sellon DC. Long MT. eds. In: Equine Infectious Diseases. First Edition, St. Louis: Saunders, 2007; pp. 84–103. 22. Wilson DA. Clinical Veterinary Advisor: The Horse. First Edition. St. Louis: Elsevier Saunders, 2012; pp.608-9.