You are here

Dynamics of hemostasiological parameters in cows during pregnancy, after birth and in obstetric, gynecological and orthopedic pathology

It is established that the physiological course of the gestational process occurs with the intensification of coagulation processes in the hemostasis system with thrombophilia, which has a two–phase nature – from the first month of pregnancy to the seventh and in the period of 2–3 days to calving with a peak of hypercoagulation by 2–5 that day after birth. The activation of hemostasis components is correlated with a high level of natural anticoagulant protein C and increased fibrinolysis activity through tissue plasminogen activator, which is controlled by a high level of its type I inhibitor. The main hemostasiological criteria are the levels: in phase I – fibrinogen 4,9–6,1 g/l, soluble fibrin about 0,04 g/l, activated partial thromboplastin time 38,1–39,7 s, functionally inactive forms prothrombin 0,88 ± 0,2 mg/ml in the first month of pregnancy; in phase II – fibrinogen 5,1–7,0 g/l, soluble fibrin about 0,01 g/l, functionally inactive forms of prothrombin 0,17 ± 0,05 mg/ml and protein C 72,0 ± 1,4 % after childbirth. In obstetric and gynecological pathology, the hypercoagulable state is aggravated to consumption coagulopathy, which is reflected in high plasma levels of soluble fibrin – 0,064 ± 0,005 g/l, fibrin / fibrinogen cleavage products – 7,5 ± 0,4 μg/ml, functionally inactive forms of prothrombi. – 1,90 ± 0,34 mg/ml and inhibitor of tissue plasminogen activator type I – 45,8 ± 0,9 IU/ml at the lowest level of tissue plasminogen activator – 0,38 ± 0,08 IU/ml (according to the norms 1,1–1,3 IU/ml) and protein C deficiency – <70%. Hypercoagulation in pregnant cows with purulent– necrotic lesions of the extremities is exacerbated by more pronounced hyperfibrinogenemia, an increase in its metabolites by 2,7 times (p<0,05) and a decrease in the activity of F XIII by 1,3 times (p<0,05) and the amount in the blood of proteinase inhibitor α2–M – 1,6 times (p<0,05). At the same time, the hypercoagulation syndrome in cows with obstetric and gynecological pathology due to its comorbidity with orthopedic not only intensifies, which is expressed in an increase in the level of hyperfibrinogenemia by 1,2 times (p<0,05), reduction of general coagulation tests by 1,3–2,1 times (p<0,001) and a decrease in the activity of FXIII in 1,2–1,3 (p<0,05), but is complicated by a decrease in the antiproteinase potential of the blood in 1,6–1,8 times.

Key words: cows, pregnancy, obstetric, gynecological pathology, purulent-necrotic lesions in the area of fingers, hemostasiological indicators.

  1. Liang, D., Arnold, L. M., Stowe, C. J., Harmon, R. J., Bewley, J. M. (2017). Estimating US dairy clinical disease costs with a stochastic simulation mode. J. Dairy Sci. pp. 1472–1486. Doi:10.3168/jds.2016-11565.
  2. Vlasenko, S.A., Rublenko, M.V., Yaremchuk, A.V. (2013). O nekotorykh patogeneticheskikh sostavnykh razvitiya gnoyno-nekroticheskikh protsessov v oblasti pal'tsev u korov s raznym reproduktivnym statusom [On some pathogenetic components of the development of purulentnecrotic processes in the area of the fingers in cows with different reproductive status]. Yezhekvartal. inform.-analit. zhurnal “Voprosy normativno-pravovogo regulirovaniya v veterinarii” [Quarterly. inform.-analyte. journal “Questions of legal regulation in veterinary medicine”]. St. Petersburg, no. 3. рр. 34–36. Available at:http://www.elibrary.ru›contents.
  3. Fabio Soares, de Lima. (2020). Recent advances and future directions for uterine diseases diagnosis, pathogenesis, and management in dairy cows. Anim. Reprod. Vol. 17, no. 3. Doi:10.1590/1984-3143-ar2020-0063.
  4. Carvalho, M.R., Penagaricano, F., Santos, J.E.P., DeVries, T.J., McBride, B.W., Ribeiro, E.S. (2019). Longterm effects of postpartum clinical disease on milk production, reproduction, and culling of dairy cows. J. Dairy Sci. Vol. 102(12). pp. 11701–11717. Doi:10.3168/jds.2019-17025. PMID:31548073.
  5. Masalovych, Y.S., Valʹchuk, O.A., Lyubetsʹkyy, V.Y. (2017). Peredchasne vybuttya koriv z produktyvnoho stada [Premature departure of cows from a productive herd]. Naukovyy visnyk NUBiP Ukrayiny [Scientific Bulletin of NULES of Ukraine]. no. 265, pp. 270– 279. Available at:http://www.nubip.edu.ua/sites/default/files/ u125/visnik_2653.pdf.
  6. Kondashevskaya, M.V. (2010). Sovremennyye predstavleniya o roli geparina v gomeostaze i regulyatsii fermentativnoy i gormonal'noy aktivnosti [Modern concepts of the role of heparin in homeostasis and regulation of enzymatic and hormonal activity]. Vestnik Ross. akad. med. Nauk [Bulletin of Russian Academic Medical Sciences]. no. 7, pp. 35–43.
  7. Litvinov R.I. (2013). Molekulyarnyye mekhanizmy i klinicheskoye znacheniye fibrinoliza [Molecular mechanisms and clinical significance of fibrinolysis]. Kazanskiy meditsinskiy zhurnal [Kazan Medical Journal]. Vol. 94, no. 5, pp. 711–718. Doi:10.17816/KMJ1926.
  8. Dobrovol'skiy, A.B. (2015). Laboratornaya diagnostika narusheniy sistemy gemostaza – skriningovyye testy [Laboratory diagnostics of disorders of the hemostasis system - screening tests]. Rossiyskiy kardiologicheskiy zhurnal [Russian journal of cardiology]. no. 3, pp. 52–57. Doi:10.15829/1560-4071-2015-03-52-57.
  9. Keeling, D. (2010). Thrombophilia screening or screaming. J. Thromb. Haemost. no. 8, pp. 1191–1192. Doi:1 0.1111/j.1538-7836.2010.03871.
  10. Kostin, G.M., Shashok, L.V., Lapshina, I.V., Tyuleva, I.V. (2011). Problemy otsenki testa aktivatsii svortyvaniya krovi D-dimera v techenii beremennosti [Problems of the evaluation of the D-dimer blood clotting activation test during pregnancy]. Klinicheskaya laboratornaya diagnostika [Clinical laboratory diagnostics]. no. 9, 36 p. Available at: http://www.medlit.ru/journal/429.
  11. Soma-Pillay, P., Nelson-Piercy, K., Tolppanen, H., Mebazaa, A. (2016). Physiological changes in pregnancy. Cardiovasc. J Afr. no. 27 (2), pp. 89–94. Doi:10.5830/CVJA2016-021.
  12. Stankovic S., Majkic-Singh N. (2010). Genetic aspects ofischemic stroke: coagulation, homocysteine, and lipoprotein metabolism aspotential risk factors. Crit. Rev. Clin. Lab. Sci. no 47 (2). pp. 72–123. Doi: 10.3109/10408361003791520.
  13. Conway, E.M. (2011). Thrombomodulin and its role in inflammation. Proc. Semin. in Immunopathology. Vanccuver. pp. 107–125. Doi:10.1007/s00281-011-0282-8.
  14. Khizhnyakova, O.N. (2010). Zakonomernosti razvitiya sistemnykh reaktsiy adaptatsii v dinamike fiziologicheskogo techeniya beremennosti i ikh diagnosticheskoye znacheniye: dis. … kand. med. nauk: 14.01.01. [Regularities of the development of systemic reactions of adaptation in the dynamics of the physiological course of pregnancy and their diagnostic value: dissertation of the candidate of medical sciences: 14.01.01.]. Saratov, 284 p. Available at: www.dslib. net/fiziologia/zakonomernosti-razvitija-sistemnyh-reakcijadaptacii-v-dinamike-fiziologicheskogo.html.
  15. Kartz D., Belin Y. (2015). Disoders of coagulation in pregnancy. J. Obstetric Anaesthia. Vol. 112. Supp. 2. pp. 1175–1188. Doi: 10.1111/jth.13046.
  16. Hansen A.T., Schmidt M., Horvath-Puho E. (2015). Preconception venous thromboembolism and placentamediated pregnancy complications. J. of Thromb. and Haemost. no. 13 (9). pp. 1635–1641. Doi: 10.1111/jth.13046.
  17. Momot A.P. (2016). Patologiya gemostaza. Printsipy i algoritmy kliniko-laboratornoy diagnostiki [Patology of hemostasis. Principles and algorithms of clinical and laboratory diagnostics]. Sankt-Peterburg. 208 p. (in Russian). ISBN: 5-98147-010-0. Available at:http://www. libex.ru/detail/book525508.html.
  18. Kinzhalova, S.V., Pestrjaeva, L.A., Makarov, R.A., Borisova, S.V. (2014). Hemostasis in pregnant with hypertensive disorders. Tromboz, Gemostaz and Reologia. Vol. 1, no. 57, pp. 70–74. Available at:http://old.thrj.ru/ archive/2014-1/2014-1-7.shtml.
  19. Salekh, O.M. (2014). Optymizatsiya likuvannya trombotychnykh uskladnenʹ u vahitnykh ta porodilʹ z preeklampsiyeyu: dys. kand. med. nauk: 14.01.30. [Optimization of treatment of thrombotic complications at pregnant women and parturients with a preeclampsia: the dissertation of the candidate of medical sciences: 14.01.30.]. Donetsk, 138 p. Available at:http://repo.odmu.edu.ua/xmlui/bitstream/handle/123456789/495/%D0%A1%D0%9... D0%B2%D1%82%D0%BE%D1%80%D0%B5%D1%84. pdf?sequence=2&isAllowed=y.
  20. Fomina, L.L. (2009). Vliyaniye polovykh gormonov na funktsionirovaniye sistemy gemostaza u korov: dis. kand. biol. nauk: 03.00.13. [The influence of sex hormones on the functioning of the hemostasis system in cows: dissertation of a candidate of biological sciences: 03.00.13.]. Vologda, 144 p. Available at: http://www.dissercat.com/content/ vliyanie-polovykh-gormonov-na-funktsionirovanie-sistemygemostaza-u-korov.
  21. Lisovenko, V.M. (2014). Trombotsytarna lanka hemostazu u tilʹnykh koriv [Platelet hemostasis in pregnant cows.]. Nauk. visnyk LNUVMBT im. S.Z. Hzhytsʹkoho [Scientific Messenger of Lviv National University of Veterinary Medicine and Biotechnologies named after S.Z. Gzhytskyj]. Vol. 16, no. 2 (1), pp. 187–193. Available at:http://nvlvet.com.ua › journal › issue › download.
  22. Zavalishina, S.Y.U. (2015). Sosudistotrombotsitarnyye vzaimodeystviya u stel'nykh korov [Vascular-platelet interactions in pregnant cows]. Fundamental'nyye issledovaniya [Basic research]. no. 2, Part 2, pp. 267–271. Available at:http://www.fundamentalresearch.ru/ru/article/view?id=36800.
  23. Oshurkova, Y.U.L., Medvedev, I.I. (2017). Fiziologicheskiye osobennosti trombotsitarno-koagulyatsionnogo gemostaza u sukhostoynykh korov ayshirskoy porody [Physiological features of platelet-coagulation hemostasis in dry Ayshir cows]. Vestnik “Zdorov'ye i obrazovaniye v XXI veke” [Bulletin “Health and education in the XXI century”]. Vol. 19 (3), pp. 20–24. Available at:http://cyberleninka. ru/article/n/fiziologicheskie-osobennosti-trombotsitarnokoagulyatsionnogo-gemostaza-u-suhostoynyh-korovayrshirskoy-porody.
  24. Plyuta, L.V. (2016). Dinamika faktoriv gemostazu krovi koriv za misyacyami tilnosti. [Dynamics of hemostasis factors in cows' blood by months of pregnancy]. Naukovotehnichnij byuleten derzhavnogo naukovo-doslidnogo kontrolnogo institutu veterinarnih preparativ ta kormovih dobavok i institutu biologiyi tvarin. [Scientific and technical bulletin of the State Research Control Institute of Veterinary Drugs and Feed Additives and the Institute of Animal Biology]. Issue 17 (2), pp. 59–64.
  25. Raheem, K.A., Uchechukwu, N.V.S., Odirichukwu, E., Onyegbulam, O. (2015). Placenta retention in the cow: Report of three cases. Sokoto Journal of Veterinary Sciences. Vol. 14 (2), pp. 72–76. Doi:10.4314/sokjvs.v14i2.11.
  26. Moratis, S., Taitzoglou, I.A., Tsantarliotou, M.P. (2004). Involvement of the plasminogen activation system in cow endometritis. Theriogenology. Vol. 61, pp. 337–349. Doi:10.1016/s0093-691x(03)00217-6.
AttachmentSize
PDF icon vlasenko_1_2021.pdf497.65 KB