INVITED REVIEW General overview to treatment of strong ion (metabolic) acidosis in neonatal calves with diarrhea
نویسندگان
چکیده
Neonatal buzağı ishallerine bir veya birden daha fazla etken neden olabilir. İshalli buzağılarda strong ion (metabolic) asidozis yaygın olarak gözükür. Strong ion asidozisle ilişkili klinik semptomlar spesifik olmayıp belirsizdir. Fakat strong ion asidozisin şiddetinin tahmininde buzağının yaşı göz önünde bulundurulabilir. Çünkü aynı klinik bulgulara sahip buzağılardan yaşamının ilk haftasındaki buzağılar, bir haftalıktan büyük buzağılara kıyasla daha az asidemiktir. Ayrıca emme refleksi ile baz açığı değeri arasında yakın ilişki bulunmaktadır. Buzağılarda ishalle ilişkili ölümün azaltılmasında en önemli faktörlerden biri uygun oral veya intravenöz sıvıların kullanılmasıdır. Sistemik metabolik asidozisisi düzeltmek için uygun alkalize ajanların kullanılması gerekmektedir. Bikarbonat kandaki H+ iyonu ile direk reaksiyona girdiğinden dolayı, bikarbonat içeren intravenöz sıvılar şiddetli asideminin düzeltilmesinde oldukça etkilidir. Laktatlı ringer veya asetatlı ringer solüsyonlar ise hafiforta derecede metabolik asidozisi düzeltmede tercih edilir.
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