Obstinate prolapse of bovine uterus is one of the most common obstetric diseases in veterinary clinics. Traditional treatment or single surgery is used for treatment. The effect is not good. Since April 2004, the author has applied the method of combining traditional Chinese and western medicines to perform exploratory treatment on two cases of postpartum uterine intractable prolapse, and achieved very good therapeutic effects. 1 Causes 1.1 Obstinate prolapse of bovine uterus is due to reduced uterine contractility of cattle, decreased elasticity of supporting tissues such as connective tissue and ligaments around the bovine, and laxity of the vulva, when the abdominal pressure of livestock increases (such as urine, walking slopes, lying ground). At that time, the uterus moved backwards, giving the nerve center a "falling sensation". The livestock continued to blame for the "falling sensation" and caused the uterus to move backwards. This vicious circle caused the uterus and its surrounding tissues to lose their contractility and prolapse. . 1.2 According to traditional Chinese medicine, female animals lose blood, carcasses are thin, qi deficiency subsides, membrane laxation cannot be taken, or carcass spleen is wet, and they stop at the next coke. Yu-Juan heat forms hot and humid, betting at the uterus, hot and humid brewing, resulting in Livestock often reprimands and the uterus then falls out. If the temper is weak, the appetite is weak, the nutrition is not good, the lips are pale, the pulse is weak or the pulse is thin. 2 treatment 2.1 Disinfection, preoperative treatment and anesthesia: Use 0.1% potassium permanganate solution isothermal disinfectant to fully wash out the uterus, vulva, and tail base and remove contaminants, necrotic tissue, and attached fetal membranes. If there is blood flow to stop the bleeding first, the wound or wound on the mucous membrane should be coated with anti-inflammatory drugs or suture, and finally coated with appropriate amount of alum, glycerin or ichthyphoric and other preservatives; if prolapsed edema is obvious, use a sterile needle to puncture the mucous membrane Extrusion drainage; If there is a crack, it should be rubbed iodine, cracks deep and large to be sutured. General anesthesia was performed with 2% fluocinolone and paracentral nerve conduction anesthesia was performed with 3% procaine. Take Baoding on the right side and raise the hind leg properly. The tail is pulled to the side of the body and fixed. The surgeon cuts the nails and conducts routine disinfection. 2.2 Restoration: The two auxiliaries use the disinfected plastic film to raise the uterus (the uterus needs to spread out on the film) to make it equal to the vulva. In the absence of intestine and bladder in the uterine cavity, it can be restored. The whole complex should start from the part close to the vulva, close your fingers together, use your palm or fist to oppress the uterus wall near the vulva (not to grab the uterus wall by hand), and push it toward the vagina. After advancing to a part, the assistant tightly presses and fixes the outside of the vulva, the surgeon pulls out his hand, and pushes the remaining part gradually into the vulva by the same method until the prolapsed uterus is sent into the vagina. 2.3 Cleaning: The uterus is cleaned and disinfected with 0.1% potassium permanganate and penicillin heated to 38-40°C. After several times of repeated disinfection, the liquid inside was sucked out with a siphon method, and heated to 38-40°C with normal saline 2000-3000 ml+sulfamethoxide 200 ml to inject into the uterus. Then, the cow is pulled to make a circular motion, taking a few steps to stop, and then taking a few steps to stop, through the gravity of the water to flatten the uterus, avoid uterine inversion, and have anti-inflammatory effects. The injected water can be drained without being extracted and can be slowly discharged through the dam. 2.4 anti-off: In order to prevent prolapse, in the upper part of the vulva to the middle for 1 or 2 button stitches. If the uterus retreats again, a vulva fixator or bladder bile (or porcine bladder) fixation method can be used, which will be more effective. Normally 2 to 3 weeks or when the dam is not responsible, the suture can be removed. 2.5 Adjuvant therapy: In order to promote uterine contraction and prevent blood loss, inject oxytocin and pituitary hormone. Strengthen the nutrition of cattle, adjust feeding and management methods and exercise properly. Intravenous injection of compound sodium chloride 1500ml, 5% sugar saline 1000ml, penicillin G, 800-1600 million IU, 5% sodium bicarbonate 500ml, vitamin C, 50ml, can effectively improve blood circulation, promote uterine rehabilitation, and prevent infection. Intramuscular injection of 8 million IU of penicillin, 4 million IU of streptomycin, 2 times a day for 5 to 7 days. 3 Chinese medicine treatment 3.1 Buzhong Yiqi Decoction Astragali 90g, Codonopsis 50g, Atractylodes 50g, Zhigancao 30g, dried tangerine peel 30g, Angelica 40g, Bupleurum 15g, Cimicifuga 15g. If the chronic diarrhea inability to take large intestine, this side added wolfberry fruit 20g, ebony 15g, solid intestine with astringent; vitality subsidence, urination is unreasonable, the party plus wood through 15g, 15g before the car, in order to clear the turbidity, Tom Lee urine After a long period of time, heavy gas, subsidence in the air, the party plus red peony 15g, stove heart soil 20g, to warm the war and camp to stop bleeding. In the upper part, due to different symptoms, the amount of addition and subtraction is appropriate to take water decoction. 3.2 Electro-acupuncture treatment will acupuncture Baihui and cross nest two points. Needle deep in the cross nest, usually 15 ~ 20cm, the needle body connected to the electroacupuncture treatment machine, power can reduce the culprit strength and make it gradually disappear. 4 typical cases Case 1: In April 2004, a local female mother cow of Humou in Huling Township of Huaxi District developed vaginal vaginal discharge after giving birth. She had requested the local veterinarian to treat it for many months by means of multiple restorations, sutures, and injections. After examination: T, P, R normal, weight loss, vaginal discharge about volleyball, purple, mucous membranes have more than a dozen dry crusts, showing burst of blame, pain, anxiety, loss of appetite, mouth Flushing, tearing scars on both sides of the labia. Treatment: After the restoration with the above-mentioned method, the first three days will be electro-acupuncture Baihui, cross nest two points for 6 hours, then every day for 4 to 5 hours. Bu Zhong Yi Qi Tang one dose per day. Daily intramuscular injection of penicillin 8 million IU, streptomycin 4 million IU. During the course of treatment, the uterus did not come off. After 11 days, the uterus was removed and the electroacupuncture was continued for two days. After the suture removal, the vagina is prone to apricot peeling and can be automatically retracted when standing. Continue to use Buzhong Yiqitang 7 times. Case 2: On August 20, 2005, a female yak in a farm at Longtang Town, Pan’an County, was found to have difficulty producing. The local veterinarian gave birth to the baby. The uterus with the fetus has been removed, and it has been reconstructed 3 times and sutured twice. Check: body temperature 39.8 °C, heart rate 90 beats / min, uterine total depigmentation purple, mucosal edema is more serious, disturbed, reduced appetite, ruminant, dry nose, conjunctival limbal congestion, nutrition is still good. Treatment: After the entire rehabilitation method is used, acupuncture will be performed every day for 4 to 5 hours. Bu Zhong Yi Qi Tang one dose per day. Intramuscular injection of 8 million IU of penicillin and 4 million IU of streptomycin. After two days, the appetite returned to normal, and the stitches were removed after 6 days. At this time, the change of the vulva during urine and lying down was not obvious, and the electric needle was used for 2 hours every day. Healed after 12 days. 5 Conclusion 5.1 Do not allow sick animals to sleep within 12 hours after recovery. Do not climb high slopes before recovering. Do not lean on slopes, feed easily digestible and nutritious fodder, and do appropriate exercise every day. 5.2 oxytocin shrinks uterine smooth muscle; electro-acupuncture stimulates the pudendal nerves to become extremely branched through currents, causing contractions of the vulva and its surrounding tissues, and gradually restoring elasticity, so that the "falling sensation" disappears and healing is achieved. 5.3 Buzhong Yiqi Decoction has the effects of supplementing qi and nourishing blood, lifting and lifting solid, and has the function of strengthening spleen and stomach, which can increase appetite, and has an auxiliary and permanent effect on the rehabilitation of cattle. 5.4 The use of integrated traditional Chinese and Western medicine in the treatment of bovine uterus prolapse with both the symptoms and the root cause of the dual role, can get a higher cure rate.
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Chinese and Western medicine cures uterine intractability in bovine uterus
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