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8/14/2019 ruminantlarda celiotomi
1/8
@}~kfrixfry E`kofxfdy Ol RpdolilxuWikpibk` Hoiclfuxoe Ioh
@}x`luofl fg ~myuoeik `}idolixofl: iwiokibokoxy+ kodoxixoflu+ ' efux fg hoiclfuxoeu@}~kfrixfry&bof~uy: kow`r+ aohl`y+ olx`uxol`+ kyd~m lfh`u+ diuu`u
C`l`rik ^roleo~k`uUxilholc ki~irfxfdy ~r`g`rr`h
fbwoix`u l``h gfr u`hixofl & c`l`rik il`uxm`uoi k`uu uxr`uu fl ilodik ' uprc`flilixfdoe r`kixoflumo~u `iuo`r xf i~~r`eoix` sm`l uxilholcdolodoz`u olxri$ibhfdolik ~r`uupr`1 `iuo`r xf dfw` ibfpx ' xf dfw` xmolcu ibfpx`}e`~xoflu*: l`flix`u & udikk rpdolilxu `u~, kkidi & `}xr`d`ky ~iolgpk fr s`ia ~ixo`lxu
@lworfld`lxEko~ soh`ky $ six`rum`hHri~`))) $ xic e`d`lx&hri~` uoh` fg empx`Cffh gffxolcUx`rok` od~`rwofpu uk``w`Xiok xo`
Ibhfdolik h`efd~r`uuoflIkkfs gfr dfr` `gg`exow` `}~kfrixofl+ uig`r `}x`rofrozixofl fg k`uoflu
^r`F~ soxmmfkh g``h ' six`r1 uo~mfl rpd`l OlxriF~ l``hk` h`efd~r`uuofl fg ibfdiupd ' e`epd `gg`exow`1 lfx udikk olx`uxol`
Hflx U~r`ih Olg`exoflErilofw`lxrik ibhfd`l kiuxHflx hourp~x gobrolfpu ihm`uoflu@}~kfr` b`gfr` ily `lx`rfxfdy
Uxilholc Ki~irfxfdyR`uxriolx & il`uxm`uoi
~iriw`rx`brik bkfea $ hfruik wu kix`rik olw`rx`hK &kol` bkfeaU`hixofl $ flky og l`e`uuiry: }ykizol` & bpxfr~milfk & ie`^r`~ir` gfr r`epdb`ley))
xo` m`ih xf uoh` fg oleouoflhri~` xm` uoh` fg xm` empx`
Gie`diua fl griexofpu ilodiku
Ki~irfxfdy $ F~`lolc:Ueik~`k ~fuoxoflF~`lolc ~`roxfl`pd
l`cixow` ~r`uupr` ol ibhfd`lhocoxikky em`ea gfr ihm`uoflu
M`dfuxixu fgg sm`l `}~kfrolc
@}~kfrixoflUyux`dixoe i~~rfiemErilofw`lxrik ibhfd`l kiux@}~kfr` b`gfr` `lx`rfxfdy
Ki~irfxfdy $ EkfuolcXriluw`rupu ' ~`roxfl`pd $ bfxxfd xf xf~ Olx`rlik ' `}x`rlik fbkop`u $ u`~irix`ky og m`iwoky dpuek`hUaol $ xf~ xf bfxxfd $ olx`rrp~x`h upxpr` ix bfxxfd)
upbY '&fr epxil`fpu xrpleo f~xoflik1 pupikky hf upbY fl w`lxrik
Upxpr` Dix`roikDpuek`u: lfrdik ilodik & iu`~xoe ~rfe`hpr`: emrfdoe cpx %5 gfr ihpkx efs
my~f~rfx`ol`doe & eflxidolix`h: ufd`xmolc soxm kflc`r mikg$kog`1 %2 Woeryk & ^HUUaol: Briplidoh & W`xigok $ %5
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HWD
8/14/2019 ruminantlarda celiotomi
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R`epdb`lx Ki~irfxfdy: OlhoeixofluS`ia fr w`ry ~iolgpk ~ixo`lx $ iee`uu xf udikk fr kirc` olx`uxol`D`xoepkfpu houu`exofl & olx`uxolik iliuxidfuou
Kix`rik R`epdb`ley: Efluoh`rixofluIh`pix` ~ihholc: rihoik & g`dfrik l`rw` hidic`Xrfpcm gfr houx`lh`h ibhfd`l & kirc` rpd`lLir`u w`lxrik xf ~miryl} $ olxpbix` og m`iwoky u`hix`h
Smoem Uoh`66 $ Rocmx Fr K`gx GkilaRocmx gkila $ ihwilxic`: b`ux `}~fupr` xf dijfroxy fg ibhfdolik woue`ri
houihwilxic`: roua fg olx`uxolik `woue`rixofl cr`ix`r fl rocmxK`gx gkila $ ihwilxic`: rpd`l ~rfx`exu iciolux `woue`rixofl
houihwilxic`: kodox`h `}~fupr`+ `u~`eoikky ol kirc` efs
Rocmx Gkila Olhoeixoflu:IHR: l``h b`ux `}~kfrixfry@k`wix`h rpd`l emkfroh`Houx`lh`h kff~u fg udikk fr kirc` olx`uxol`
olxpuupue`~xofl+ e`efefkoe wfkwpkpu+ d`u`lx`roe wfkwpkpuUpu~`ex`h ibfdiuik hou~kie`d`lx fr wfkwpkpu
K`gx Gkila Olhoeixoflu:Rpd`lfxfdy
Mirhsir`
Criol Fw`rkfihR`xoepkfrpd l hyugplexofl s& lfrdik rpd`l Ek$1 FXG
E$u`exofl og ikfl`Uxilholc ibfdiuf~`}y
W`lxrik E`kofxfdy $ R`uxriolx & Il`uxm`uoiU`hixofl ' eiuxolc $ kol` bkfea
eipxofl)) eirhof~pkdfliry efd~rfdou` & liuik f}yc`l & OW gkpohu6@~ohprik: kpdbfuierik fr mocm wfkpd` eiphik $ cffh gffxolc & mfbbk`u hprolc r`efw`ry
W`lxrik E`kofxfdyF~`lolc: eipxofl: diddiry w`olu1 dira smok` uxilholcEkfuolc: ~`roxfl`pd ' olx`rlik r`expu um`ixm: uod~k` eflxolpfpu
`}x`rlik r`expu um`ixm **$ mfkholc kiy`ruod~k` olx`rrp~x`h fr gir$l`ir$l`ir$gir s& mocm x`luofl -^rfk`l`1 Woeryk1 ^HU/ x`luofl r`ko`g gfr ekfupr`:h`efd~r`uuofl & x`d~friry upxpr`u & xfs`k ekid~uupb -olhoeix`h m`r` hp` xf h`~`lh`lx kfeixofl/ & uaol $ iu ibfw`
W`lxrik E`kofxfdy $ OlhoeixofluE$U`exofl: udikk b``g m`og`r fr `d~myu`dixfpu -b`ux i~~rfiem xf `}x`rofroz` px`rpu/Efrr`exofl fg ibfdiuik hou~kie`d`lxu1 ~irid`hoil ibfdiuf~`}yIbfdiuik od~iexofl & I@H & pke`ru: ~irid`hoil fr ~iriefuxikPdbokoeik ~rfe`hpr u $ m`rloiu & ibue`uu`u
Ibhfdolik Olg`exofluPupikky do}`h biex`roik ~f~pkixofl1 bfxm crid l`cixow` ' ~fuoxow`
`lx`rfbiex`roieoi` ilh ili`rfb`u ir` dfux od~frxilx ~ixmfc`luPu`gpk ilxodoerfboiku:
kfs (: ~`loeokkol fr x`xrieyekol`mocm`r (: e`gxofgpr+ gkfr~m`loefk
72798?,hfe Rfb`rx L, Uxr`
HWD
8/14/2019 ruminantlarda celiotomi
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Rpd`lfxfdy
Rpd`lfxfdy:Olhoeixoflu
Upu~`ex XR^ & mirhsir`Criol fw`rkfih & xf}oe olhoc`uxoflFdiuik xrilu~frx giokpr`Rpd`l & ibfdiuik od~iexofl
^r`$F~R`hpe` rpd`l uoz`: giuxolc fr kiwic`^r`f~`rixow` ilxobofxoeu
^rfe`hpr`K`gx ~irikpdbir e`kofxfdy
em`ix erilofw`lxrik gfr r`iemIbhfdolik `}~kfrixfry $ erilofw`lxrik ibhfd`l kiux)))Em`ea gfr ihm`uoflu $ h`x`rdol` frcil fg frocol
gobrolfpu $ hf lfx houxprb)) gobrfpu $ p`uxoflibk` b`l`gox xf hourp~x
U`eprolc Xm` Rpd`lRpd`l $ uaol upxpr`uRpd`l bfirhUxiy upxpr`u $ rouay)
@}~kfrixofl&Ekfupr`Rpd`lfxfdy umrfph r`hpe` eflxidolixofl -xrium bic/ Olw`rxolc rpd`l ekfupr`R`~r`~1 l`s ckfw`u ' oluxrpd`lxuU`eflh kiy`r ekfupr` fg rpd`lRfpxol` bfhy sikk ekfupr`
^fux$F~ Eir`Ilxobofxoeu 5 $ 0 hiyu rfpxol`1 kflc`r s& ibue`uuixoflUxikk eflgol`d`lx -`u~, s& XR^/Rpd`l xrilugiplixofl -`u~, s& criol fw`rkfih/Dfloxfr gfr oleouoflik olg`exofl
Rpd`lfuxfdy Olhoeixoflu
emrfloe gr`` ciu bkfix`lx`rik lpxroxofl $ ~mirylc`ik fr `uf~mic`ik ~`rgfrixofl & x`xilpu & `xe,
^r`f~ efluoh`rixoflu $ h`efd~r`uu rpd`l gorux
X`emlop`R`w`ru` 3 fr ~iriw`rx`brikR`dfw` 2$5 ed eorek` fg uaolCroh oleouofl xmrfpcm dpuek`u & f~`l ~`roxfl`pdCriu~ rpd`l ' x`lx p~ $ ~kie` uxiy upxpr`u
uaol xf rpd`l & lf dpuek`)UpbY xf rpd`l s& eflxolpfpu mfrozflxik dixxr`uu $ f~xoflik
Rpd`l sikk xf uaol $ uod~k` olx`rrp~x`h
Rpd`lfuxfdy $ ^fuxf~ Eir`Ilxobofxoeu 5$0 hiyuCrilpkix` ol 8$= s``au & eillpkix` gfr `lx`rik g``holc
72798?,hfe Rfb`rx L, Uxr`
HWD
8/14/2019 ruminantlarda celiotomi
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Uprcoeik Hou`iu`u Fg Xm` IbfdiupdEflhoxoflu
Ibfdiuik hou~kie`d`lx k`gx hou~kie`d`lx & rocmx hou~kie`d`lx & ibfdiuik wfkwpkpu
Ibfdiuik pke`rixofl & od~iexofl
Ilixfdoe Efluoh`rixofluIbfdiuik gplhpu+ bfhy+ ~ykfrpuCr`ix`r ' k`uu`r fd`lxpdR`xoepkfibfdiuik gfkh
^myuofkfcoe Iblfrdikoxo`uD`xibfkoe ikaikfuouMy~femkfr`doi1 my~faik`doi1!&$my~feike doi@k`wix`h rpd`l emkfroh`
K`gx Hou~kie`h Ibfdiupd^fux~irxpro`lx hiory efsu: 2$8 s``au ~fux$~irxpdFgg criol & `ix rfpcmic` > $ ~`refkix` xm` ciu K`iw` hfsl fl k`gx uoh` ^`repuu bfxm K ' R igx`r uxilholc
Dira rocmx diddiry w`ol -DW/ smok uxilholc Rfkk iu ibfw`1 ^olc xf u`` og xm` ibfdiupd dfw`h Upxpr`u ~kie`h olxf xm` ~olc) Og ~fuuobk`+ ~kie` ix 9&2
b`xs``l dohkol` ' DW: milh eiphik xf }o~mfoh Upxpr` smok` uxokk gpkk fg ciu1 Ud`kk ciu$rocmx u~fx1 k`x ciu fpx fl 2lh xfcck` Og hflx m`ir i ~olc1 hflx upxpr`)) Lf ^olc:Lf ^fa` K`iw` efs hfsl fl k`gx uoh` b`gfr` rouolc R`dfw` upxpr` ol 2 sau)) Og efsu lfx b`xx`r ol 2 hiyu+ HI miu r`eprr`h+ fr uoclu
fg olx`uxolik fbuxrpexofl: r`dfw` xm` upxpr`))
C`l`rik }~kfrixfry H`x`rdol` og HI ihm`r`h xf sikk fr rpd`l H`gkix` ibfdiupd Us``~ plh`r rpd`l C`lxk` xriexofl fl CF xf `}x`rofroz` xm` ~ykfrpu W`rxoeik gfkh fg gix1 uxirx 2 eiphfhfruik xf ~ykfrpu Uxiy upxpr`u xmrfpcm ^&XI ' fd`lxpd Olefr~frix` fd`lxpd ol ki~irfxfdy dd ekfupr`
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K`gx Gkila Ibfdiuf~`}yIhwilxic`u & Olhoeixoflu
uxilholc ~rfe`hpr`hor`ex go}ixoflwoupikoz` ihm`r`h ibfdiupd g`iuobk` ol kix` c`uxixofl
Houihwilxic` & Efd~koeixoflu kodox`h }~kfrixfry kflc r`iem r`por`h xsf ~`ruflu r`por`hbfs`k kie`rixofl & `lxri~d`lx sm`l ~iuu l``hk`u hfslibfdiuik gouxpki $ upxpr`u ol kpd`l & upxpr`u lfx r`dfw`h $ od~frxilx1 hoggoepkx xf efrr`ex
X`emlop`
Rx irid`hoil Ibfdiuf~`}yIhwilxic`u & Olhoeixoflu
iee`uu soxm umfrx irdu)hor`ex go}ixofl & dfux u`epr`r`iuflibk` }~kfrixfryr`u`exofl fg pke`rix`h ir`iuhriolic` fg xm` px`rpu
Houihwilxic`u & Efd~koeixoflur`epdb`lx : my~f}oi + W&Y + iu~orixoflplgidokoir ilixfdyiuuouxile` gfr ~fuoxoflolc
X`emlop`
KHI: Igx`reir`Ilxobofxoeu6A`xfuou xm`ri~y1 ckpefu`&~rf~yk`l` ckyefkFrik gkpohu & `k`exrfkyx`u: 30c LiEk ! 0>c AEk ! 9>c EiEk ol 3 cik six`rR`xprl fg ~rfhpexofl1 umfpkh r`xprl xf l`ir lfrdik i~~`xox` ilh ~rfhpexofl soxmol 5$8 hiyu
Rocmx Uoh`h ^olcRocmx hou~kie`h ibfdiupdIbfdiuik wfkwpkpu^l`pdf~`roxfl`pdE`efefkoe wfkwpkpuEfkfloe & hpfh`lik ixfly ' hokixofl
Ibfdiuik WfkwpkpuR`efcloxofl^r`f~`rixow` efluoh`rixoflu gkpohu+ ilxobofxoeu^rfclfuou1 ~r`f~ MR < 9>> cpirh`h ~rfclfuouGkpoh xm`ri~y1 ~r`g`ribky OW ~r` ' olxrif~
Uprcoeik Efrr`exoflRocmx gkila fd`lxf~`}y -dy ~r`g`r`le`/Rocmx ~irid`hoil ibfdiuf~`}y
Ibfdiuik WfkwpkpuIgx`reir`1 iu gfr KHI+ bpx dfr` iccr`uuow`
Efd~koeixoflu: wicik olhoc`uxofl
Ibfdiuik Od~iexoflRpd`lfxfdy ' ibfdiuik kiwic`
liufibfdiuik xpb` ~kie`d`lx: dol`rik fok & HUUIbfdiufxfdy~iriefuxik e`kofxfdy
Ibfdiuik Pke`rixoflRocmx ~irid`hoil e`kofxfdy $ r`u`exofl fr olw`ruofl
72798?,hfe Rfb`rx L, Uxr`
HWD
R^KG1 ~iriefuxik1 eir`gpk f~`lolc1 ibf rocmx xm`r`)) H`x`rdol` uox` ' hor`exofl fg wfkwpkpu Og gkpoh r`dfwik ou olhoeix`h+ hf b`gfr` r`dfwolc ciu-~folx`h LC xpb` $ ~r`~kie`h ~pru`$uxrolc $ fw`ru`s/ H`gkix` ciu grfd xm` ibfdiupd Efrr`ex xm` wfkwpkpu1 diy l``h xf dfw` fdiupd 9ux
C`l`rikky l``h ekfeasou` rfxixofl grfd r`ir ' rx uoh` C`lxk` xriexofl fl CF xf `}x`rofroz` xm` ~ykfrpu Rpl milh grfd ~ykfrpu xf r`xoepkfibfdiuik gfkh $ FA R`diolh`r iu ibfw` gfr RGF
C`l`rik `}~kfrixfry: em`ea gfr ihm`uoflu^kie` upxpr` ol ibfdiupd1 2 kix`rik ' ~irikk`k xf
cr`ix`r eprwixpr`1 kflc xicu fl eriloik&eiphik `lh H`gkix` ibfdiupd L``hk` xo`h xf upxpr` `lhu ^iuu hfsl xmrfpcm rx ~irid`hoil ir`i1 iuux crib Iuux xia` fpx ukiea smok` U} ~pum`u ibf w`lxrikky Iuux xo` gordky R`dfw` Upxpr` ol 2 s``au
C`l`rik }~kfrixfry H`gkix` ' `lupr` efrr`ex ~fuoxoflolc fg ibfdiupd U~kox xmoeal`uu box` fg ibfdiupd ol ORU ekfupr` Dflfgokid`lx ibufrbibk` upxpr`u ol ibfdiupd) Olx`rrp~x`h ekfupr` fg WRU $ mfkholc kiy`r UY & Uaol
8/14/2019 ruminantlarda celiotomi
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Uprcoeik Xr`ixd`lx Fg Prfkoxmoiuou Ol Rpdolilxu
Efluoh`rixoflu
Kfeixofl fg fbuxrpexofluocdfoh gk`}pr` & pr`xmrik ~rfe`uu
Efleprr`lx eyuxoxouPr`xmrik how`rxoepkpdGr`lpkpd ixxiem`h ol yfplc
EflhoxofluPr`xmrik fbuxrpexofl
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Br``holc IlodikEixm`x`roz` houxik pr`xmri $ r`xrfcrih` gkpumolc1 og plupee`uugpk: Oleou` eriloik xf biu` fg uerfxpd1 `}x`rofroz` ~`lou ' kfeix` fbuxrpexofl1Xry xf erpum ' gkpum uxfl`1 og plupee`uugpk:^`rgfrd pr`xmrfxfdy jpux houxik xf uxfl` ' r`dfw`+Upxpr` pr`xmri: 5$> xf 8$>1 eixm`x`r iu ux`lx Oh`ikky+ ~kie` eyuxfuxfdy xpb` gfr proliry how`ruofl smok` pr`xmri m`iku
Eyuxfxfdy Olhoeix`h ol udikk rpdolilxu1 dpkxo~k` udikk uxfl`uLfrdfcrih` ' r`xrfcrih` gkpumolc1 og upee`uugpk emilc` ho`x ' dfloxfr r`eprr`le` Og plupee`uugpk:
pr`xmrfuxfdy ' efkk`ex u`d`l fr uikwic`eyuxfuxfdy xpb`: r`ux pr`xmri ' how`rx prol`1 LMEk$ ' siox gfr uxfl` xf houufkw`
Rp~xpr`h Bkihh`rR`uouxile` xf prfibhfd`lDily fg rp~xpr`u ir` hfruik ' diy m`ik fle` pr`xmri ~ix`lxHriol ibhfd`l $ crihpikky ' b`gfr` r`epdb`leyPr`xmrfuxfdy og xm`y uprwow` hriolic` fg ibhfd`l fw`rlocmxWikpibk` ilodik1 r`~ior bkihh`r woi e`kofxfdy
72798?,hfe Rfb`rx L, Uxr`
HWD
8/14/2019 ruminantlarda celiotomi
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Dilic`d`lx Fg Pdbokoeik Diuu`u
Pdbokoeik Diuu`uPdbokoeik m`rloi
plefd~koeix`hefd~koeix`h
Fd~mikoxoupdbokoeik ibue`uupdbokoeik r`dlilx olg`exofl
Pdbokoeik R`dlilxu
Priempu $ -9/ i~`} fg bkihh`rPdbokoeik w`ol $ -9/ rfplh kocid`lx fg kow`rPdbokoeik irx`ro`u $ -2/ rfplh kocid lxu fg bkihh`r
MouxfryLfrdik m`ikxm uxixpuSm`l diuu siu lfxoe`h & plogfrd crfsxm soxm eikg^rofr olg`exofl & hriolic`Hyuproi & uxrilcproi
^ik~ixoflHfruik r`epdb`leyM`rloik rolc $ efd~k`x`6 & r`hpeobk`6
Hfruik+ eriloik+ ' eiphik@woh`le` fg olgkiddixoflHriololc xriex & crilpkfdi
PkxriufplhW`ry pu`gpk gfr h`x`rdololc `}x`lx fg olx`rlik frcil olwfkw`d`lx
Pdbokoeik M`rloiEflc`loxik wu, iepor`h
mouxfry & ~ik~ixofl & `woh`le` fg ~rofr olg`exoflUxrilcpkixofl rir`Xr`ixd`lx
eflu`rwixow` wu uprcoeik
M`rlofrrmi~myIl`uxm`uoiF~`l wu ekfu`hF~`lolc xm` ~`roxfl`pdGr`um`l m`rloik rolcEkfupr`
Efd~koeix`h M`rloiuR`efcloxofl^rfclfuou & efd~koeixofluIl`uxm`xoe r`cod`l
Olg`ex`h R`dlilxu
Gkpum & ~iea & fw`ru`sW`lxrik e`kofxfdy & r`u`exofl $ b` ~r`~ir`h gfr ibhfdolik ihm`uofludirup~oikozixofl $ ~ix`lx pdbokoeik w`ol xf xm` kow`r
Pdbokoeik Ibue`uuHriol rfpxol`ky+ bpx em`ea gfr ibhfdolik efddploeixofl1 mfpr$ckiuu
72798?,hfe Rfb`rx L, Uxr`
HWD