Clinical Features of Post-Parturient Hemoglobinuria in Dairy Cattle and Buffaloes: A Review

Shahpoor Rahmati, Amanullah Aziz, M. Tawfeeq, Jahed Zabuli, Sayed Ahmad Nazhat
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Abstract

Postpartum hemoglobinuria (PPH) is a sporadic noninfectious syndrome which normally seen in bovine around the world. PPH is most commonly affecting high-productive cows and buffaloes during the early pregnancy and early lactation period. PPH stands as a serious threat to the dairy cattle and buffaloes in Afghanistan, Pakistan, and India, affecting a considerable number of animals every year. It is characterized by hemoglobinuria, intravenous hemolysis, severe anemia, and death due to anemia and hypoxia. However, the exact mechanism of the mentioned illness is not completely understood. Lots of comprehensive studies have been done and/or still are in progress in order to find the exact causes of intravascular hemolysis that is responsible for hemoglobinuria in the mentioned disease. But, hypophosphatemia in the high productive milking cows during the early stage of milk production is widely confident to be associated with PPH. In different parts of the world, many risk factors had been reported to be associated with PPH. Decreasing the level of phosphorous in blood serum, interrupted the phospholipid layers of red blood cells resulting in hemoglobinuria, a decrease in milk production, anorexia, and the death of animals in the cause if remained untreated. Urinalysis and hematology findings are the most commonly suitable diagnostic tools for this disease. Lots of studies have been suggesting that injection of sodium acid phosphate along with important minerals and supportive therapy with anti-oxidants can be used as the therapeutic protocol for the management of PPH.
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奶牛和水牛产后血红蛋白尿的临床特征
产后血红蛋白尿(PPH)是一种散发的非传染性综合征,通常见于世界各地的牛。PPH最常见于妊娠早期和哺乳期早期的高产牛和水牛。PPH对阿富汗、巴基斯坦和印度的奶牛和水牛构成严重威胁,每年影响相当数量的动物。它的特点是血红蛋白尿、静脉溶血、严重贫血和因贫血和缺氧而死亡。然而,上述疾病的确切机制尚不完全清楚。为了找到导致上述疾病中出现血红蛋白尿的血管内溶血的确切原因,已经进行了大量和/或仍在进行的综合研究。但是,高产奶牛在产奶期早期的低磷血症被广泛认为与PPH有关。在世界不同地区,许多危险因素已被报道与PPH有关。降低血清中磷的水平,阻断红细胞的磷脂层,导致血红蛋白尿,产奶量减少,厌食症,如果不治疗,动物会死亡。尿液分析和血液学检查结果是本病最常用的诊断工具。大量研究表明,磷酸钠注射液联合重要矿物质和抗氧化剂的支持治疗可作为治疗PPH的治疗方案。
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