Update zur Diagnose und Therapie von Uterusinvolutionsstörungen
Axel Wehrend
Klinikum Veterinärmedizin - Klinik für Geburtshilfe, Gynäkologie und Andrologie der Groß- und Kleintiere mit Tierärztlicher Ambulanz der JLU
Gießen
KlinikumVeterinärmedizin
- Uterusinvolution
- Problem der Uterusinvolutionsstörung
- Diagnostik
- Therapie
Puerperium Anforderungen an die Kuh
- Laktation- Brutpflegeverhalten (Mutterkuhhaltung)- Fütterungsumstellung- „sozialer Stress“ (Umstallung u. a.)- endokrine Umstellung- Involution der Geschlechtsorgane- Anlaufen der Ovarfunktion
Metabolische, soziale und immunologische Leistung
„Sozialer“ Stress- Tiere werden um den Geburtszeitraum häufig mehrmals aus
ihrem sozialem Gefüge gerissen und in neue Gruppe integriert.
Trockenstehergruppe Abkalbebereich Laktierende Gruppe
- signifikanter Zusammenhang zwischen hierarchischer Stellung und Krankheitshäufigkeit
- trifft vor allem Tiere, die zum ersten Mal abkalben
Was passiert im Puerperium?
1. Tag
4. Tag
8. Tag
21. Tag
Phasen der deutlichen
Tonisierung
1. – 3. Tag
ab 10. – 14. Tag
Grunert, 1993
VorführenderPräsentationsnotizenAtonia uteri als Früerkennung
Reorganisation des Zervikalkanales bei zehn Kühen
Was passiert im Puerperium?
VorführenderPräsentationsnotizenBis zu 20 % Verlust – Meeressäuger bis zu 40 %
Was passiert im Puerperium?
Zaremba, 1990„Alte“ zeitliche Angaben zur Dauer der Involution sind nach wie vor gültig.Milchkuh: 42 – 50 Tage, Mutterkuh: 30 – 35 Tage
VorführenderPräsentationsnotizenWoran liegt die kurze Involution?
Involutionsstörungen des UterusElimination der Erreger
innerhalb von 2 - 6 Wochen
„sterile“ GebärmutterInfektion der Gebärmutter
Besiedlung der Gebärmutter mit
Erregern in/nach der Geburt
VorführenderPräsentationsnotizenWoran liegt die kurze Involution?
Involutionsstörungen des Uterus
- Adaptation an die Umgebung- metabolische Komponente- sozialer Stress (Mensch und Tier)- Krankheiten- Erblichkeitsfaktor- Hitzestress
Kontraktilität der Gebärmutter
Erregerart und -menge
- metabolische Komponente(Ketose, Azidose, Kalzium,Selen)
- Bewegung- Verletzungen
- Was?- Wann?- Wie viel?
Abwehrleistung der Kuh
VorführenderPräsentationsnotizenWoran liegt die kurze Involution?
Involutionsstörungen des Uterus
Negativer Einfluss auf Funktion der Neutrophilen Granulozyten
- Lipolyse- Anstieg der NEFA-Konzentration- niedrige intrazelluläre Glykogenreserven
- Erregerelimination:initial von den Neutrophilen Granulozyten getragen
Signifikante Unterschiede in der Neutrophilenfunktion schon vor der Geburt bzw. vor der Uteropathie (Hammon et al., 2006)
VorführenderPräsentationsnotizenWoran liegt die kurze Involution?
Nachgeburts-verhaltung
Metritis Endometritis- Klinische Endometritis- Subklinische Endometritis< 21. Tage p. p.
> 21. Tage p. p.
Involutionsstörungen des Uterus
Krankheitsbild Anzahl Tiere Kühe gesamt (513) Kranke Kühe (247)
Metritis puerperalis 93 18,1 37,7
Klinische Mastitis 87 17,0 35,2
Retentio secundinarum 69 13,5 27,9
Hochgradige Lahmheit 20 3,9 8,1
Gebärparese 20 3,9 8,1
Labmagenverlagerung 18 3,5 7,3
Klinische Ketose 14 2,7 5,7
Pneumonie 11 2,1 4,5
Absolute und relative Häufigkeit von Puerperalerkrankungen in den ersten 13Tagen post partum bei Milchkühen (n = 513)
- 10 – 20 % entwickeln eine Metritis- 10 – 30 % entwickeln eine Endometritis
LeBlanc, 2012
Involutionsstörungen des Uterus
Involutionsstörungen des Uterus
Möglichkeiten:- Keine tierärztliche Untersuchung- Transrektale Palpation- Sonographie- Vaginale Untersuchung (Vaginoskopie,
manuelle Untersuchung, Hilfsgeräte) - Uterustupferprobenentnahme- Zytologie- Neue Labormethoden / Schnelltest
- Sensitivität und Spezifität- Definition der Erkrankung- Hier: auf Einzeltierebene
Diagnostik
Wie wird eine Untersuchung durchgeführt?Metritis:- Hehenberger et al. (2015):- vaginale Untersuchung 94,3 % (116/ 123)
- meist behandschuhte Hand- Metricheck sehr selten: 97 % nie- Spekulum von ca. 10 %
- rektale Untersuchung: 83,7%- Weitere Untersuchung: bei 69,1 %- Espadamala et al. (2018):
- 70 % transrektale Palpation + Ausfluss (33 Farmen)- 24 % nur Ausfluss
Diagnostik
Aus dem Gerichtssaal
Diagnostik
- Erfolgte die Behandlung der Nachgeburtsverhaltungkunstgerecht?
- Hätte eine Allgemeinuntersuchung der Kuh durchgeführtwerden müssen?
- Hätte eine Euteruntersuchung der Kuh durchgeführt werdenmüssen?
- Mit welcher Wahrscheinlichkeit hätte die Euterentzündungmit Erfolg behandelt werden können, wenn sie bereits amxxx entdeckt worden wäre?
Keine tierärztliche Untersuchung- Sinnvoll um verdächtige Tiere zu detektieren
- Einbindung / Aufgabe des Tierhalters- Weiterentwicklung durch Automatisierung und Digitalisierung
(Milchtemperatur, Aktivität, Gewicht, Futteraufnahme, Gewicht, u.a.)
- Durch bestimmte Glykane in der Milch kann eine Nachgeburtsverhaltung detektiert werden
Diagnostik
VorführenderPräsentationsnotizenGlykane: Mehrfachzucker
Diagnostik
Anzahl klinisch gesunder Milchkühe mit einer rektal gemessenen Körperinnentemperatur von mehr als 39,6 °C (81 Kühe von 266) im Frühpuerperium
Diagramm1
24
45
31
27
18
15
13
13
13
5
Tag post partum
Anzahl Tiere
errechnen Grenzw.
Stallnr.Tag partus012345678910
2514.3.39.139.839.939.439.839.739.439.439.238.939.0
4920.4.39.839.640.140.139.939.539.239.539.539.239.4
51026.6.39.140.140.340.239.739.739.339.539.138.939.1
81614.4.39.739.439.840.239.439.339.039.439.139.239.1
9181.4.39.038.638.638.838.738.938.638.838.838.438.9
101920.5.38.838.838.639.138.838.838.639.038.538.8
12202.7.38.838.939.038.838.838.739.038.739.038.7
142211.5.38.838.738.738.839.139.339.139.139.439.239.2
184310.3.39.138.738.738.838.738.738.938.840.238.6
194613.3.38.939.039.039.539.239.238.939.239.238.9
21503.4.39.138.939.038.938.538.738.738.638.838.938.9
235824.6.38.838.638.839.039.039.039.038.938.738.7
276412.7.38.738.839.539.940.240.139.739.539.439.539.3
286826.7.39.138.638.938.938.939.039.438.839.339.039.4
296925.6.39.339.339.539.238.939.339.239.339.138.939.0
307129.7.39.139.739.739.439.539.039.639.139.139.339.2
338129.5.39.039.338.939.039.039.439.239.239.139.1
348413.4.38.738.940.239.640.339.639.239.239.339.239.0
358819.6.39.338.738.738.938.939.038.938.839.039.038.9
36956.6.39.338.738.938.939.339.739.138.838.838.9
3710022.6.38.838.739.139.339.038.938.838.839.138.9
381035.6.39.339.139.239.338.939.039.239.239.038.739.0
431202.8.39.338.838.739.038.939.138.839.439.238.939.0
4412118.4.39.239.038.739.139.039.039.339.038.838.838.7
4612516.4.39.639.839.039.139.139.339.239.239.239.139.4
4712716.6.40.039.139.640.240.039.439.639.339.239.138.8
4812818.4.39.540.539.839.839.439.439.139.139.039.1
4912925.6.39.038.738.739.039.239.039.239.239.239.339.2
5414918.7.38.938.938.938.639.139.439.539.439.238.738.8
5515211.6.38.838.739.039.338.839.039.139.139.038.639.1
611658.6.38.738.939.238.738.638.638.838.938.838.6
6216714.6.38.938.638.538.639.039.039.239.039.538.939.2
631682.4.39.138.639.439.439.139.239.439.439.339.439.3
6416917.6.38.839.939.139.039.539.438.939.339.539.939.4
701755.4.39.039.139.039.640.139.839.939.839.639.339.5
7117625.5.38.839.039.039.439.839.339.439.038.938.738.9
7317720.7.38.838.738.939.039.239.539.039.039.239.339.4
7418022.5.39.640.539.939.339.239.539.139.239.039.1
7518226.6.38.738.739.139.139.639.739.539.539.539.439.1
7618423.3.38.939.339.439.239.239.139.639.439.138.838.8
7819028.6.39.339.439.239.639.639.239.239.439.539.2
8120221.7.38.738.839.039.339.239.339.439.239.439.2
8220330.7.38.838.738.739.038.839.239.138.738.738.639.1
8320428.6.38.838.938.939.039.039.138.738.838.838.9
842072.7.39.239.139.139.239.038.939.039.039.139.0
872162.7.38.638.538.839.139.539.439.739.539.639.2
8823718.3.38.938.638.938.839.039.039.139.439.339.539.3
892389.7.39.138.638.938.638.738.838.838.838.938.839.5
9124110.4.39.039.239.139.139.339.139.339.339.239.238.9
9424728.5.39.140.039.439.039.539.239.339.039.138.839.0
9625419.5.38.739.738.839.138.938.939.238.939.038.838.7
9725514.3.39.038.838.838.739.138.839.039.139.239.239.2
9825724.5.38.538.538.738.738.738.738.638.738.838.838.8
10025915.4.38.738.839.139.139.538.839.239.039.239.038.9
10126016.6.38.938.739.039.139.339.139.638.838.839.1
10226121.4.39.439.439.039.139.039.139.239.339.339.039.1
10526814.4.39.140.541.240.539.238.938.638.738.738.7
10627410.6.39.039.939.539.239.039.039.138.838.938.839.0
10727527.3.39.438.738.738.838.738.938.938.838.638.938.9
1082765.5.39.039.039.739.539.339.739.639.339.238.939.2
1102818.4.39.739.340.140.038.839.439.339.038.838.938.6
1122843.4.38.838.939.039.038.838.838.839.239.038.7
11529029.5.38.738.939.539.439.639.439.739.539.739.539.3
11629116.3.38.839.239.239.238.838.938.839.038.939.139.1
1172922.5.38.939.038.839.039.239.339.038.838.838.638.7
11929519.5.39.339.938.939.539.138.838.839.339.239.238.9
12029915.6.38.638.738.738.838.839.038.939.139.138.8
12330823.4.39.140.041.039.339.939.739.839.439.039.239.2
12430918.3.39.539.239.039.039.139.239.039.339.139.139.3
1253109.4.39.239.439.338.939.439.039.138.838.638.638.5
12831424.4.39.138.838.738.938.739.139.239.339.239.3
12931529.5.38.838.938.839.039.138.839.139.039.239.039.0
13232312.3.38.938.838.838.938.939.038.939.239.239.438.9
1333282.7.38.739.539.139.039.239.038.939.239.539.439.6
1353324.6.38.738.538.639.039.038.939.238.738.739.039.2
13733621.3.39.239.040.239.339.439.139.138.738.838.938.9
14635820.4.39.038.638.638.838.938.839.039.539.339.039.2
14936123.7.38.938.938.738.939.139.139.139.239.139.2
15137111.6.39.138.939.139.039.139.139.139.039.139.139.2
15237510.6.39.638.540.238.838.939.139.539.639.639.639.7
15538620.7.38.938.639.038.739.238.838.839.239.139.239.3
15639010.4.39.238.939.140.340.339.639.339.439.139.0
15739123.7.38.738.738.738.738.838.939.038.939.239.0
15839510.6.38.839.538.939.239.038.938.838.938.939.339.6
15939720.5.39.039.639.239.739.238.638.939.238.638.738.7
16140112.7.39.138.939.039.439.239.539.339.439.139.138.6
1644101.6.38.939.639.839.139.139.139.539.639.339.339.3
16541324.3.39.239.138.939.439.138.939.138.938.938.738.7
16842228.3.38.939.538.838.938.838.939.039.038.938.938.8
1734326.6.39.238.838.639.039.440.539.038.839.239.039.1
1754338.5.38.839.139.539.239.339.139.239.439.339.239.3
17743617.6.38.739.339.239.139.339.239.239.439.539.439.7
17843822.7.39.138.938.939.339.338.838.838.938.738.9
1794398.5.38.938.538.638.538.738.738.938.939.038.9
18044214.6.40.240.339.639.139.139.139.139.639.739.6
18144622.4.39.438.738.838.939.439.939.539.139.439.439.2
18345327.7.39.139.139.339.239.339.339.239.039.439.839.3
18445428.3.38.639.239.839.439.138.739.138.739.339.2
18645913.6.39.038.638.738.839.239.639.339.439.439.238.9
19047821.3.39.139.439.239.038.939.139.038.638.738.7
19449628.7.39.339.239.239.339.239.138.938.838.738.739.1
20151413.6.39.239.139.239.438.839.039.039.139.339.3
20352114.5.39.038.538.739.039.339.639.639.439.339.139.0
2045232.6.39.539.839.238.739.338.838.738.938.939.0
20552531.7.39.740.539.539.739.139.339.039.239.139.2
20752729.3.39.338.639.039.238.838.939.338.838.938.738.8
20852917.3.39.439.539.438.838.938.938.839.138.939.039.0
20954022.6.39.840.039.539.139.139.239.139.139.239.5
21154613.4.39.639.139.139.038.838.838.738.938.738.9
21354920.5.38.638.939.239.940.039.339.339.239.339.439.6
21555924.7.39.239.638.738.638.939.039.039.439.439.539.4
21656115.4.39.438.638.838.938.938.739.038.938.938.738.7
2175663.6.39.239.539.239.039.739.239.339.439.339.439.4
21856613.5.39.139.138.8
22057416.4.38.939.039.439.139.139.039.038.939.539.139.0
2215762.5.39.239.139.539.338.938.838.838.938.738.9
22257715.4.39.939.939.038.238.638.438.438.738.438.7
2245792.4.39.139.139.139.639.439.440.139.739.539.2
2255814.8.38.738.538.938.839.138.839.139.338.839.0
23260426.7.39.238.739.138.839.239.239.139.438.938.739.0
23460815.7.38.939.339.739.438.939.639.539.439.640.039.6
2356099.3.39.238.538.838.939.038.938.538.739.038.6
23661325.6.39.238.838.838.738.839.039.138.939.339.238.7
23762114.6.39.139.238.839.339.039.138.939.239.539.1
23962527.5.39.239.239.339.039.139.239.439.339.139.1
2406314.5.39.338.938.938.939.339.639.939.339.539.439.1
24364211.5.39.039.139.039.239.339.239.339.239.339.339.0
24464514.3.39.539.039.339.339.339.639.539.739.739.739.3
24564815.5.39.038.938.838.839.238.839.039.139.138.739.2
24765131.3.39.440.040.239.139.339.238.839.439.138.7
24865824.3.38.638.839.439.239.239.139.239.138.939.139.0
2496614.8.38.839.038.939.039.439.039.239.238.838.738.9
25266519.6.39.339.839.639.739.939.539.439.339.539.439.6
2546742.7.39.139.038.438.839.038.939.339.239.938.9
25567830.4.39.139.639.238.938.939.038.838.938.738.9
2566857.6.39.539.640.039.139.138.839.139.440.039.2
2586891.8.39.138.839.539.239.239.739.739.639.539.6
25969110.4.38.739.540.039.339.439.139.439.339.039.338.8
26170631.5.38.638.839.138.738.638.939.338.639.138.9
26270711.6.39.139.339.039.038.938.939.039.139.239.239.3
26470911.5.39.038.938.639.038.838.939.339.139.339.4
26972831.5.38.939.439.439.339.339.139.139.139.339.2
27274520.4.38.638.639.338.838.738.638.738.738.739.2
27474818.4.39.139.640.540.238.739.038.939.139.138.939.2
2777571.8.38.938.739.139.539.939.639.039.039.139.038.7
27875817.4.38.938.838.638.839.038.839.039.539.638.939.2
28277210.5.39.239.139.639.439.439.539.439.539.239.039.3
28377410.5.38.638.738.838.938.838.638.638.939.439.0
28678028.5.39.239.739.839.438.939.339.139.339.039.039.1
2907901.8.39.838.739.038.938.639.239.239.339.039.239.3
29179326.4.39.539.338.938.639.038.838.838.738.838.7
2947994.6.38.838.938.939.238.739.039.238.938.839.2
29780427.5.38.939.039.239.439.239.539.339.039.439.2
29980810.6.39.138.938.938.838.939.239.539.239.239.338.9
3008113.5.38.739.139.839.639.539.639.338.738.938.838.7
30281329.4.38.838.538.538.838.539.239.539.239.639.339.0
3038185.6.38.939.539.138.938.839.339.139.039.138.939.2
3108269.7.38.938.939.039.339.139.138.939.139.239.4
31284013.3.38.638.938.839.139.038.938.838.938.838.9
3148471.7.39.239.038.939.438.939.039.038.939.139.1
31585025.7.39.539.039.139.439.639.839.839.939.539.839.6
31886528.3.38.938.739.338.939.039.438.839.139.239.6
31986619.7.38.838.939.139.439.039.439.339.339.238.639.3
32187310.3.38.438.638.938.938.838.738.738.838.638.938.7
3228785.4.38.738.938.938.738.839.739.338.938.738.8
32388024.4.39.239.738.939.140.140.339.639.139.039.139.0
32889418.5.39.738.938.839.238.938.939.339.038.939.139.1
32989913.6.39.539.039.139.039.039.039.039.039.139.039.1
33090829.5.39.039.039.039.439.039.039.439.439.238.939.1
3319094.6.38.539.639.739.439.339.039.239.239.639.539.5
33491328.5.39.139.039.439.039.139.239.138.939.039.1
33591513.3.39.139.639.839.839.339.439.339.339.639.239.4
33992423.4.38.838.538.838.838.939.239.439.639.438.9
34193010.6.39.239.439.939.339.539.140.039.739.539.339.4
34393530.6.38.538.738.638.738.638.638.938.738.838.839.1
34593728.3.39.839.239.140.339.139.138.938.939.238.938.8
3469409.4.38.539.338.938.938.338.939.239.039.339.0
3489442.4.39.639.438.839.139.339.139.239.139.139.139.0
35396815.3.40.140.739.539.339.539.239.239.139.239.4
35497329.3.38.939.039.738.839.039.038.939.338.838.9
35598115.3.39.339.239.539.239.939.039.440.040.339.8
35798815.4.39.139.239.539.639.339.139.239.038.939.038.9
36199723.6.38.438.938.838.838.739.338.839.038.939.039.2
36299823.3.39.240.239.939.139.039.039.039.138.838.7
365100110.6.38.839.238.538.739.139.239.139.339.139.439.2
366101021.7.39.339.639.839.339.639.139.339.339.439.139.3
367101411.4.39.539.539.138.538.639.339.639.239.039.2
368101828.7.39.639.339.339.539.139.439.338.639.339.1
370102223.7.38.938.839.038.938.739.039.139.139.038.8
372102831.5.39.239.139.039.038.838.938.939.038.839.0
37310315.8.39.238.838.639.039.039.039.139.039.239.138.9
37610382.7.38.939.038.638.738.738.839.338.838.939.139.2
379104823.6.38.739.038.839.439.740.039.539.439.239.339.2
380104925.6.39.838.838.739.338.939.139.639.139.139.238.9
38210557.7.38.638.438.739.238.839.139.339.639.539.4
386106710.5.38.938.739.139.139.139.039.239.039.339.339.5
38710683.8.38.939.038.938.638.939.039.038.939.339.2
388107222.6.38.638.838.738.638.638.538.538.538.639.1
39010792.7.39.039.639.739.439.238.839.339.139.439.1
39210819.4.39.338.939.1
394109718.4.38.839.138.939.338.839.139.138.838.939.0
396109918.7.39.139.039.039.239.239.339.640.139.639.3
39911059.3.40.239.739.339.939.038.738.638.938.638.7
400110815.4.38.938.738.638.838.838.838.938.738.738.839.0
401112228.4.38.739.139.740.039.739.739.239.239.238.938.9
402112321.7.38.839.939.739.739.439.139.039.138.939.439.0
404113028.7.39.539.139.640.440.639.739.639.539.339.5
407113718.3.39.239.239.439.339.138.639.138.838.838.9
410114316.3.38.839.139.138.939.339.139.039.139.239.4
411114413.3.39.338.938.839.038.939.038.838.838.838.938.8
417119711.3.38.940.639.338.838.838.939.239.039.339.3
41811996.6.39.239.239.438.939.539.539.139.238.939.339.2
41912037.6.39.039.239.740.139.839.439.139.139.239.039.1
420120625.7.39.039.239.339.138.938.939.139.039.239.2
421121230.6.38.939.039.038.739.439.438.938.939.038.7
422121625.5.39.339.039.039.439.839.739.240.139.239.4
425122530.5.38.938.738.939.138.638.838.839.139.239.2
42612305.4.38.838.738.839.139.038.939.139.339.339.3
427123320.6.39.839.239.239.138.938.938.939.938.738.7
430123913.5.38.838.938.639.139.438.838.938.638.638.738.5
431124029.4.38.738.938.938.738.738.938.839.039.139.0
432124717.5.38.738.739.038.739.038.939.038.939.039.039.0
434125416.7.39.139.039.139.139.539.639.339.238.939.439.6
437126231.3.39.238.939.339.639.239.239.038.739.039.139.0
443128118.7.39.439.639.239.639.139.039.439.239.539.339.1
444128213.6.38.838.939.539.039.139.039.038.939.039.739.4
44512865.8.39.138.938.939.038.938.939.039.239.039.339.1
44612894.5.39.439.238.539.038.938.739.238.838.639.1
449131319.6.39.138.838.839.739.439.439.639.440.039.839.1
453132713.4.38.839.540.040.339.839.139.039.338.738.938.8
455133125.7.39.038.538.638.939.238.939.339.138.838.938.7
458135631.3.38.738.839.839.339.739.439.139.239.639.339.4
461136613.7.39.038.638.739.039.139.039.139.338.739.3
462137022.5.39.038.938.938.839.039.239.639.739.839.539.7
463137212.6.38.839.139.038.739.239.239.339.039.239.339.0
46413763.7.38.938.838.838.638.938.838.838.838.738.8
468139614.3.39.240.039.739.139.438.839.139.339.038.939.0
470140319.3.38.839.339.038.739.138.839.639.239.039.1
472140621.3.39.238.638.838.838.839.138.639.038.639.139.0
474140821.7.39.539.139.539.939.539.339.038.938.938.738.6
478141712.7.38.938.839.439.540.239.339.039.138.439.038.7
48014286.4.39.539.739.539.039.138.939.039.038.838.6
481143628.3.39.038.939.339.439.639.539.339.339.239.2
484144520.3.39.039.039.739.639.338.939.039.238.839.239.0
485144721.3.39.039.739.739.539.438.638.838.838.738.838.7
48714495.4.38.939.440.440.139.239.639.239.138.838.7
48914524.6.39.439.039.239.339.239.439.839.839.739.339.6
49114581.4.39.038.938.939.839.539.239.339.739.439.339.2
492145813.5.38.538.838.838.938.938.939.039.739.239.2
493145917.5.39.240.639.238.538.739.339.139.138.938.939.2
494146221.5.38.939.239.039.439.238.939.139.239.139.339.0
49514644.8.39.139.539.639.539.139.039.038.939.039.1
49614688.5.39.038.839.139.039.039.138.939.138.839.239.3
497146929.6.38.838.638.939.539.439.439.239.239.739.439.4
499147125.5.38.939.539.539.139.139.039.139.439.039.0
500147420.6.38.938.838.938.638.938.639.039.139.139.3
50214785.7.38.938.939.039.539.239.539.339.639.339.4
50414848.4.39.239.039.338.739.039.139.339.238.839.038.9
508149727.4.38.638.539.038.838.938.838.938.538.938.838.9
511150915.4.39.139.138.838.939.239.539.440.340.740.139.2
513151024.7.39.039.339.639.739.540.340.339.739.639.340.9
514152023.6.38.738.839.739.539.239.239.139.139.239.239.1
22658724.3.39.240.539.839.239.240.039.939.339.139.1
466139117.7.38.839.539.139.238.9
> 39,751832242112867102140komplett
012345678910550-10%1-10%2-10%
> 39,7271513157344928181.030.779.029.972.027.3
> 39,6366231710668125102von hinte addieren102.038.699.037.593.035.2
> 39,53914181113148151116132ermöglicht132.050.0129.048.9120.045.5
> 39,45911201611199171922158einschränkung ab 4. Tag158.059.8153.058.0144.054.5
> 39,36109181991721142741191(Metritis)191.072.3185.070.1175.066.3
0+11+22+33+44+55+66+77+88+99+10
> 39,706884140213412.9
> 39,6
> 39,5
> 39,4
> 39,3
Tag der
Messung
post partum
gesund gesamt
Stallnr.Tag partus012345678910
2514.3.39.139.839.939.439.839.739.439.439.238.939.0
4920.4.39.839.640.140.139.939.539.239.539.539.239.4
51026.6.39.140.140.340.239.739.739.339.539.138.939.1
81614.4.39.739.439.840.239.439.339.039.439.139.239.1
9181.4.39.038.638.638.838.738.938.638.838.838.438.9
101920.5.38.838.838.639.138.838.838.639.038.538.8
12202.7.38.838.939.038.838.838.739.038.739.038.7
142211.5.38.838.738.738.839.139.339.139.139.439.239.2
184310.3.39.138.738.738.838.738.738.938.840.238.6
194613.3.38.939.039.039.539.239.238.939.239.238.9
21503.4.39.138.939.038.938.538.738.738.638.838.938.9
235824.6.38.838.638.839.039.039.039.038.938.738.7
276412.7.38.738.839.539.940.240.139.739.539.439.539.3
286826.7.39.138.638.938.938.939.039.438.839.339.039.4
296925.6.39.339.339.539.238.939.339.239.339.138.939.0
307129.7.39.139.739.739.439.539.039.639.139.139.339.2
338129.5.39.039.338.939.039.039.439.239.239.139.1
348413.4.38.738.940.239.640.339.639.239.239.339.239.0
358819.6.39.338.738.738.938.939.038.938.839.039.038.9
36956.6.39.338.738.938.939.339.739.138.838.838.9
3710022.6.38.838.739.139.339.038.938.838.839.138.9
381035.6.39.339.139.239.338.939.039.239.239.038.739.0
431202.8.39.338.838.739.038.939.138.839.439.238.939.0
4412118.4.39.239.038.739.139.039.039.339.038.838.838.7
4612516.4.39.639.839.039.139.139.339.239.239.239.139.4
4712716.6.40.039.139.640.240.039.439.639.339.239.138.8
4812818.4.39.540.539.839.839.439.439.139.139.039.1
4912925.6.39.038.738.739.039.239.039.239.239.239.339.2
5414918.7.38.938.938.938.639.139.439.539.439.238.738.8
5515211.6.38.838.739.039.338.839.039.139.139.038.639.1
611658.6.38.738.939.238.738.638.638.838.938.838.6
6216714.6.38.938.638.538.639.039.039.239.039.538.939.2
631682.4.39.138.639.439.439.139.239.439.439.339.439.3
6416917.6.38.839.939.139.039.539.438.939.339.539.939.4
701755.4.39.039.139.039.640.139.839.939.839.639.339.5
7117625.5.38.839.039.039.439.839.339.439.038.938.738.9
7317720.7.38.838.738.939.039.239.539.039.039.239.339.4
7418022.5.39.640.539.939.339.239.539.139.239.039.1
7518226.6.38.738.739.139.139.639.739.539.539.539.439.1
7618423.3.38.939.339.439.239.239.139.639.439.138.838.8
7819028.6.39.339.439.239.639.639.239.239.439.539.2
8120221.7.38.738.839.039.339.239.339.439.239.439.2
8220330.7.38.838.738.739.038.839.239.138.738.738.639.1
8320428.6.38.838.938.939.039.039.138.738.838.838.9
842072.7.39.239.139.139.239.038.939.039.039.139.0
872162.7.38.638.538.839.139.539.439.739.539.639.2
8823718.3.38.938.638.938.839.039.039.139.439.339.539.3
892389.7.39.138.638.938.638.738.838.838.838.938.839.5
9124110.4.39.039.239.139.139.339.139.339.339.239.238.9
9424728.5.39.140.039.439.039.539.239.339.039.138.839.0
9625419.5.38.739.738.839.138.938.939.238.939.038.838.7
9725514.3.39.038.838.838.739.138.839.039.139.239.239.2
9825724.5.38.538.538.738.738.738.738.638.738.838.838.8
10025915.4.38.738.839.139.139.538.839.239.039.239.038.9
10126016.6.38.938.739.039.139.339.139.638.838.839.1
10226121.4.39.439.439.039.139.039.139.239.339.339.039.1
10526814.4.39.140.541.240.539.238.938.638.738.738.7
10627410.6.39.039.939.539.239.039.039.138.838.938.839.0
10727527.3.39.438.738.738.838.738.938.938.838.638.938.9
1082765.5.39.039.039.739.539.339.739.639.339.238.939.2
1102818.4.39.739.340.140.038.839.439.339.038.838.938.6
1122843.4.38.838.939.039.038.838.838.839.239.038.7
11529029.5.38.738.939.539.439.639.439.739.539.739.539.3
11629116.3.38.839.239.239.238.838.938.839.038.939.139.1
1172922.5.38.939.038.839.039.239.339.038.838.838.638.7
11929519.5.39.339.938.939.539.138.838.839.339.239.238.9
12029915.6.38.638.738.738.838.839.038.939.139.138.8
12330823.4.39.140.041.039.339.939.739.839.439.039.239.2
12430918.3.39.539.239.039.039.139.239.039.339.139.139.3
1253109.4.39.239.439.338.939.439.039.138.838.638.638.5
12831424.4.39.138.838.738.938.739.139.239.339.239.3
12931529.5.38.838.938.839.039.138.839.139.039.239.039.0
13232312.3.38.938.838.838.938.939.038.939.239.239.438.9
1333282.7.38.739.539.139.039.239.038.939.239.539.439.6
1353324.6.38.738.538.639.039.038.939.238.738.739.039.2
13733621.3.39.239.040.239.339.439.139.138.738.838.938.9
14635820.4.39.038.638.638.838.938.839.039.539.339.039.2
14936123.7.38.938.938.738.939.139.139.139.239.139.2
15137111.6.39.138.939.139.039.139.139.139.039.139.139.2
15237510.6.39.638.540.238.838.939.139.539.639.639.639.7
15538620.7.38.938.639.038.739.238.838.839.239.139.239.3
15639010.4.39.238.939.140.340.339.639.339.439.139.0
15739123.7.38.738.738.738.738.838.939.038.939.239.0
15839510.6.38.839.538.939.239.038.938.838.938.939.339.6
15939720.5.39.039.639.239.739.238.638.939.238.638.738.7
16140112.7.39.138.939.039.439.239.539.339.439.139.138.6
1644101.6.38.939.639.839.139.139.139.539.639.339.339.3
16541324.3.39.239.138.939.439.138.939.138.938.938.738.7
16842228.3.38.939.538.838.938.838.939.039.038.938.938.8
1734326.6.39.238.838.639.039.440.539.038.839.239.039.1
1754338.5.38.839.139.539.239.339.139.239.439.339.239.3
17743617.6.38.739.339.239.139.339.239.239.439.539.439.7
17843822.7.39.138.938.939.339.338.838.838.938.738.9
1794398.5.38.938.538.638.538.738.738.938.939.038.9
18044214.6.40.240.339.639.139.139.139.139.639.739.6
18144622.4.39.438.738.838.939.439.939.539.139.439.439.2
18345327.7.39.139.139.339.239.339.339.239.039.439.839.3
18445428.3.38.639.239.839.439.138.739.138.739.339.2
18645913.6.39.038.638.738.839.239.639.339.439.439.238.9
19047821.3.39.139.439.239.038.939.139.038.638.738.7
19449628.7.39.339.239.239.339.239.138.938.838.738.739.1
20151413.6.39.239.139.239.438.839.039.039.139.339.3
20352114.5.39.038.538.739.039.339.639.639.439.339.139.0
2045232.6.39.539.839.238.739.338.838.738.938.939.0
20552531.7.39.740.539.539.739.139.339.039.239.139.2
20752729.3.39.338.639.039.238.838.939.338.838.938.738.8
20852917.3.39.439.539.438.838.938.938.839.138.939.039.0
20954022.6.39.840.039.539.139.139.239.139.139.239.5
21154613.4.39.639.139.139.038.838.838.738.938.738.9
21354920.5.38.638.939.239.940.039.339.339.239.339.439.6
21555924.7.39.239.638.738.638.939.039.039.439.439.539.4
21656115.4.39.438.638.838.938.938.739.038.938.938.738.7
2175663.6.39.239.539.239.039.739.239.339.439.339.439.4
21856613.5.39.139.138.8
22057416.4.38.939.039.439.139.139.039.038.939.539.139.0
2215762.5.39.239.139.539.338.938.838.838.938.738.9
22257715.4.39.939.939.038.238.638.438.438.738.438.7
2245792.4.39.139.139.139.639.439.440.139.739.539.2
2255814.8.38.738.538.938.839.138.839.139.338.839.0
23260426.7.39.238.739.138.839.239.239.139.438.938.739.0
23460815.7.38.939.339.739.438.939.639.539.439.640.039.6
2356099.3.39.238.538.838.939.038.938.538.739.038.6
23661325.6.39.238.838.838.738.839.039.138.939.339.238.7
23762114.6.39.139.238.839.339.039.138.939.239.539.1
23962527.5.39.239.239.339.039.139.239.439.339.139.1
2406314.5.39.338.938.938.939.339.639.939.339.539.439.1
24364211.5.39.039.139.039.239.339.239.339.239.339.339.0
24464514.3.39.539.039.339.339.339.639.539.739.739.739.3
24564815.5.39.038.938.838.839.238.839.039.139.138.739.2
24765131.3.39.440.040.239.139.339.238.839.439.138.7
24865824.3.38.638.839.439.239.239.139.239.138.939.139.0
2496614.8.38.839.038.939.039.439.039.239.238.838.738.9
25266519.6.39.339.839.639.739.939.539.439.339.539.439.6
2546742.7.39.139.038.438.839.038.939.339.239.938.9
25567830.4.39.139.639.238.938.939.038.838.938.738.9
2566857.6.39.539.640.039.139.138.839.139.440.039.2
2586891.8.39.138.839.539.239.239.739.739.639.539.6
25969110.4.38.739.540.039.339.439.139.439.339.039.338.8
26170631.5.38.638.839.138.738.638.939.338.639.138.9
26270711.6.39.139.339.039.038.938.939.039.139.239.239.3
26470911.5.39.038.938.639.038.838.939.339.139.339.4
26972831.5.38.939.439.439.339.339.139.139.139.339.2
27274520.4.38.638.639.338.838.738.638.738.738.739.2
27474818.4.39.139.640.540.238.739.038.939.139.138.939.2
2777571.8.38.938.739.139.539.939.639.039.039.139.038.7
27875817.4.38.938.838.638.839.038.839.039.539.638.939.2
28277210.5.39.239.139.639.439.439.539.439.539.239.039.3
28377410.5.38.638.738.838.938.838.638.638.939.439.0
28678028.5.39.239.739.839.438.939.339.139.339.039.039.1
2907901.8.39.838.739.038.938.639.239.239.339.039.239.3
29179326.4.39.539.338.938.639.038.838.838.738.838.7
2947994.6.38.838.938.939.238.739.039.238.938.839.2
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29980810.6.39.138.938.938.838.939.239.539.239.239.338.9
3008113.5.38.739.139.839.639.539.639.338.738.938.838.7
30281329.4.38.838.538.538.838.539.239.539.239.639.339.0
3038185.6.38.939.539.138.938.839.339.139.039.138.939.2
3108269.7.38.938.939.039.339.139.138.939.139.239.4
31284013.3.38.638.938.839.139.038.938.838.938.838.9
3148471.7.39.239.038.939.438.939.039.038.939.139.1
31585025.7.39.539.039.139.439.639.839.839.939.539.839.6
31886528.3.38.938.739.338.939.039.438.839.139.239.6
31986619.7.38.838.939.139.439.039.439.339.339.238.639.3
32187310.3.38.438.638.938.938.838.738.738.838.638.938.7
3228785.4.38.738.938.938.738.839.739.338.938.738.8
32388024.4.39.239.738.939.140.140.339.639.139.039.139.0
32889418.5.39.738.938.839.238.938.939.339.038.939.139.1
32989913.6.39.539.039.139.039.039.039.039.039.139.039.1
33090829.5.39.039.039.039.439.039.039.439.439.238.939.1
3319094.6.38.539.639.739.439.339.039.239.239.639.539.5
33491328.5.39.139.039.439.039.139.239.138.939.039.1
33591513.3.39.139.639.839.839.339.439.339.339.639.239.4
33992423.4.38.838.538.838.838.939.239.439.639.438.9
34193010.6.39.239.439.939.339.539.140.039.739.539.339.4
34393530.6.38.538.738.638.738.638.638.938.738.838.839.1
34593728.3.39.839.239.140.339.139.138.938.939.238.938.8
3469409.4.38.539.338.938.938.338.939.239.039.339.0
3489442.4.39.639.438.839.139.339.139.239.139.139.139.0
35396815.3.40.140.739.539.339.539.239.239.139.239.4
35497329.3.38.939.039.738.839.039.038.939.338.838.9
35598115.3.39.339.239.539.239.939.039.440.040.339.8
35798815.4.39.139.239.539.639.339.139.239.038.939.038.9
36199723.6.38.438.938.838.838.739.338.839.038.939.039.2
36299823.3.39.240.239.939.139.039.039.039.138.838.7
365100110.6.38.839.238.538.739.139.239.139.339.139.439.2
366101021.7.39.339.639.839.339.639.139.339.339.439.139.3
367101411.4.39.539.539.138.538.639.339.639.239.039.2
368101828.7.39.639.339.339.539.139.439.338.639.339.1
370102223.7.38.938.839.038.938.739.039.139.139.038.8
372102831.5.39.239.139.039.038.838.938.939.038.839.0
37310315.8.39.238.838.639.039.039.039.139.039.239.138.9
37610382.7.38.939.038.638.738.738.839.338.838.939.139.2
379104823.6.38.739.038.839.439.740.039.539.439.239.339.2
380104925.6.39.838.838.739.338.939.139.639.139.139.238.9
38210557.7.38.638.438.739.238.839.139.339.639.539.4
386106710.5.38.938.739.139.139.139.039.239.039.339.339.5
38710683.8.38.939.038.938.638.939.039.038.939.339.2
388107222.6.38.638.838.738.638.638.538.538.538.639.1
39010792.7.39.039.639.739.439.238.839.339.139.439.1
39210819.4.39.338.939.1
394109718.4.38.839.138.939.338.839.139.138.838.939.0
396109918.7.39.139.039.039.239.239.339.640.139.639.3
39911059.3.40.239.739.339.939.038.738.638.938.638.7
400110815.4.38.938.738.638.838.838.838.938.738.738.839.0
401112228.4.38.739.139.740.039.739.739.239.239.238.938.9
402112321.7.38.839.939.739.739.439.139.039.138.939.439.0
404113028.7.39.539.139.640.440.639.739.639.539.339.5
407113718.3.39.239.239.439.339.138.639.138.838.838.9
410114316.3.38.839.139.138.939.339.139.039.139.239.4
411114413.3.39.338.938.839.038.939.038.838.838.838.938.8
417119711.3.38.940.639.338.838.838.939.239.039.339.3
41811996.6.39.239.239.438.939.539.539.139.238.939.339.2
41912037.6.39.039.239.740.139.839.439.139.139.239.039.1
420120625.7.39.039.239.339.138.938.939.139.039.239.2
421121230.6.38.939.039.038.739.439.438.938.939.038.7
422121625.5.39.339.039.039.439.839.739.240.139.239.4
425122530.5.38.938.738.939.138.638.838.839.139.239.2
42612305.4.38.838.738.839.139.038.939.139.339.339.3
427123320.6.39.839.239.239.138.938.938.939.938.738.7
430123913.5.38.838.938.639.139.438.838.938.638.638.738.5
431124029.4.38.738.938.938.738.738.938.839.039.139.0
432124717.5.38.738.739.038.739.038.939.038.939.039.039.0
434125416.7.39.139.039.139.139.539.639.339.238.939.439.6
437126231.3.39.238.939.339.639.239.239.038.739.039.139.0
443128118.7.39.439.639.239.639.139.039.439.239.539.339.1
444128213.6.38.838.939.539.039.139.039.038.939.039.739.4
44512865.8.39.138.938.939.038.938.939.039.239.039.339.1
44612894.5.39.439.238.539.038.938.739.238.838.639.1
449131319.6.39.138.838.839.739.439.439.639.440.039.839.1
453132713.4.38.839.540.040.339.839.139.039.338.738.938.8
455133125.7.39.038.538.638.939.238.939.339.138.838.938.7
458135631.3.38.738.839.839.339.739.439.139.239.639.339.4
461136613.7.39.038.638.739.039.139.039.139.338.739.3
462137022.5.39.038.938.938.839.039.239.639.739.839.539.7
463137212.6.38.839.139.038.739.239.239.339.039.239.339.0
46413763.7.38.938.838.838.638.938.838.838.838.738.8
468139614.3.39.240.039.739.139.438.839.139.339.038.939.0
470140319.3.38.839.339.038.739.138.839.639.239.039.1
472140621.3.39.238.638.838.838.839.138.639.038.639.139.0
474140821.7.39.539.139.539.939.539.339.038.938.938.738.6
478141712.7.38.938.839.439.540.239.339.039.138.439.038.7
48014286.4.39.539.739.539.039.138.939.039.038.838.6
481143628.3.39.038.939.339.439.639.539.339.339.239.2
484144520.3.39.039.039.739.639.338.939.039.238.839.239.0
485144721.3.39.039.739.739.539.438.638.838.838.738.838.7
48714495.4.38.939.440.440.139.239.639.239.138.838.7
48914524.6.39.439.039.239.339.239.439.839.839.739.339.6
49114581.4.39.038.938.939.839.539.239.339.739.439.339.2
492145813.5.38.538.838.838.938.938.939.039.739.239.2
493145917.5.39.240.639.238.538.739.339.139.138.938.939.2
494146221.5.38.939.239.039.439.238.939.139.239.139.339.0
49514644.8.39.139.539.639.539.139.039.038.939.039.1
49614688.5.39.038.839.139.039.039.138.939.138.839.239.3
497146929.6.38.838.638.939.539.439.439.239.239.739.439.4
499147125.5.38.939.539.539.139.139.039.139.439.039.0
500147420.6.38.938.838.938.638.938.639.039.139.139.3
50214785.7.38.938.939.039.539.239.539.339.639.339.4
50414848.4.39.239.039.338.739.039.139.339.238.839.038.9
508149727.4.38.638.539.038.838.938.838.938.538.938.838.9
511150915.4.39.139.138.838.939.239.539.440.340.740.139.2
513151024.7.39.039.339.639.739.540.340.339.739.639.340.9
514152023.6.38.738.839.739.539.239.239.139.139.239.239.1
22658724.3.39.240.539.839.239.240.039.939.339.139.1
466139117.7.38.839.539.139.238.9
MW39.039.139.139.239.139.139.139.139.139.139.1
Min38.438.538.438.438.238.338.438.438.438.438.5
Max40.040.641.041.240.540.640.340.340.740.340.9
Stabw.0.30.40.50.40.40.30.30.30.30.30.3
MW39.1
0.0
Tag derMW± sMinMax
Tag derMW± sMinMaxMessungin °Cin °Cin °Cin °C
Messungin °Cin °Cin °Cin °Cpost partum
post partum1. Tag39.10.538.140.8
1. Tag39.10.538.140.82. Tag39.10.538.241.4
2. Tag39.10.538.241.43. Tag39.20.538.341.6
3. Tag39.20.538.341.64. Tag39.10.53841.5
4. Tag39.10.53841.55. Tag39.10.438.141.3
5. Tag39.10.438.141.36. Tag39.10.43840.6
6. Tag39.10.43840.67. Tag39.10.438.240.9
7. Tag39.10.438.240.98. Tag39.10.438.241
8. Tag39.10.438.2419. Tag39.10.438.141.2
9. Tag39.10.438.141.210. Tag39.10.338.441
10. Tag39.10.338.441
39.047546012339.052083333339.144507575839.1539.138167938939.105363984739.112643678239.100957854439.099233716539.075670498139.062835249
38.438.4538.438.438.238.338.3538.438.438.3538.45
4040.640.9541.1540.540.640.340.2540.6540.2540.85
0.29983553520.3900441340.48402045640.40714405750.37866128680.34170100750.30228791590.29386195440.31901197680.31245312060.2839251114
Tag derMW± sMinMax
Messungin °Cin °Cin °Cin °C
post partum
1. Tag39.10.39004413438.4540.6
2. Tag39.10.484020456438.440.95
3. Tag39.20.407144057538.441.15
4. Tag39.10.378661286838.240.5
5. Tag39.10.341701007538.340.6
6. Tag39.10.302287915938.3540.3
7. Tag39.10.293861954438.440.25
8. Tag39.10.319011976838.440.65
9. Tag39.10.312453120638.3540.25
10. Tag39.10.283925111438.4540.85
24
45
31
27
18
15
13
13
13
5
Tabelle4
2514.3.39.139.7539.8539.3539.7539.6539.3539.439.1538.8539
4920.4.39.839.640.0540.0539.939.4539.1539.4539.4539.239.35
51026.6.39.140.0540.2540.239.6539.6539.2539.4539.0538.939.05
81614.4.39.739.439.7540.1539.439.253939.3539.0539.1539.05
81614.4.39.739.439.7540.1539.439.253939.3539.0539.1539.05
184310.3.39.0538.738.738.7538.6538.738.8538.840.238.6
276412.7.38.738.7539.4539.8540.240.139.6539.4539.3539.539.3
348413.4.38.738.940.1539.640.339.5539.239.239.2539.238.95
4612516.4.39.639.7538.9539.139.139.2539.1539.1539.239.139.35
4712716.6.4039.0539.640.239.9539.439.5539.339.239.138.8
4812818.4.39.4540.539.7539.839.439.439.139.13939.05
6416917.6.38.839.939.13939.4539.438.939.2539.539.8539.35
701755.4.3939.053939.5540.0539.839.939.839.639.2539.5
7117625.5.38.838.953939.439.839.339.3538.9538.938.738.9
7418022.5.39.5540.4539.8539.2539.239.539.139.1538.9539.05
9424728.5.39.14039.438.9539.4539.239.2538.9539.0538.839
10526814.4.39.140.4541.1540.539.1538.938.638.6538.738.7
10627410.6.3939.8539.4539.1538.953939.0538.838.8538.7539
1102818.4.39.739.2540.139.9538.7539.3539.33938.838.938.55
11929519.5.39.339.8538.8539.539.138.7538.839.2539.239.1538.85
12330823.4.39.14040.9539.339.8539.6539.839.43939.1539.2
13733621.3.39.23940.239.339.439.0539.0538.738.7538.938.9
15237510.6.39.638.540.1538.838.8539.139.4539.639.639.5539.65
15639010.4.39.238.939.0540.340.339.5539.2539.439.139
1644101.6.38.939.5539.839.139.0539.0539.4539.639.2539.2539.25
1734326.6.39.238.838.638.9539.440.4538.9538.7539.238.9539.05
18044214.6.40.1540.2539.639.0539.0539.139.0539.639.6539.6
18144622.4.39.3538.738.7538.939.3539.8539.4539.0539.3539.3539.15
18345327.7.39.0539.139.339.1539.2539.339.238.9539.439.7539.3
18445428.3.38.5539.239.839.3539.0538.739.0538.6539.2539.2
2045232.6.39.4539.839.1538.739.338.838.6538.938.939
20552531.7.39.740.4539.539.739.139.33939.239.0539.15
20954022.6.39.839.9539.539.0539.0539.239.0539.0539.239.45
21354920.5.38.638.8539.239.8539.9539.2539.2539.1539.339.439.55
22257715.4.39.8539.93938.238.5538.3538.438.6538.3538.7
2245792.4.39.0539.139.0539.5539.439.3540.0539.6539.4539.2
22658724.3.39.240.539.839.239.239.9539.939.339.0539.05
23460815.7.38.939.2539.739.438.8539.5539.4539.439.639.9539.6
2406314.5.39.338.8538.8538.939.2539.5539.8539.2539.539.439.1
24765131.3.39.439.9540.1539.139.339.238.839.3539.0538.65
25266519.6.39.339.839.639.6539.8539.4539.3539.339.4539.439.6
2546742.7.39.138.9538.438.753938.8539.2539.1539.8538.9
2566857.6.39.539.639.9539.139.138.839.139.439.9539.2
25969110.4.38.739.54039.339.3539.0539.3539.2538.9539.338.8
27474818.4.39.139.640.540.238.73938.939.0539.138.8539.2
2777571.8.38.938.6539.139.539.8539.55393939.0538.9538.7
28678028.5.39.239.6539.7539.438.8539.339.139.3393939.1
2907901.8.39.838.6538.9538.8538.5539.239.1539.338.9539.239.25
3008113.5.38.739.139.839.639.539.5539.338.6538.8538.838.7
31585025.7.39.538.9539.0539.439.639.839.7539.8539.4539.7539.55
32388024.4.39.239.6538.939.0540.140.339.639.138.9539.139
33591513.3.39.139.639.7539.839.2539.3539.339.339.5539.239.4
34193010.6.39.239.439.8539.2539.4539.054039.6539.4539.339.35
34593728.3.39.839.1539.140.2539.0539.0538.938.939.238.8538.8
35396815.3.40.0540.6539.4539.2539.539.1539.239.139.239.4
35598115.3.39.2539.239.4539.1539.93939.44040.2539.8
36299823.3.39.240.239.8539.05393938.9539.138.838.7
366101021.7.39.2539.639.7539.2539.639.0539.339.2539.3539.139.25
379104823.6.38.738.9538.839.439.74039.539.439.1539.2539.2
380104925.6.39.838.7538.739.338.8539.0539.639.139.0539.238.9
396109918.7.39.138.9538.9539.239.1539.339.640.0539.639.3
39911059.3.40.239.739.2539.8538.9538.738.638.938.638.65
401112228.4.38.739.139.654039.6539.6539.239.239.1538.938.85
402112321.7.38.839.939.6539.739.3539.053939.138.939.3539
404113028.7.39.4539.139.640.440.639.6539.639.539.339.45
417119711.3.38.940.5539.338.7538.838.8539.23939.339.25
41912037.6.3939.239.6540.0539.7539.3539.0539.139.153939.05
422121625.5.39.2538.953939.3539.7539.739.240.0539.1539.35
427123320.6.39.7539.1539.1539.0538.8538.938.8539.938.6538.7
449131319.6.39.138.7538.7539.6539.3539.439.639.439.9539.839.05
453132713.4.38.839.454040.339.7539.138.9539.2538.738.8538.75
458135631.3.38.738.7539.839.2539.739.439.0539.239.5539.339.35
462137022.5.3938.938.8538.83939.239.639.6539.839.539.65
468139614.3.39.239.9539.6539.0539.438.839.139.2538.9538.939
474140821.7.39.539.0539.539.8539.4539.33938.8538.8538.738.6
478141712.7.38.938.7539.439.4540.1539.253939.0538.438.9538.7
48714495.4.38.8539.3540.3540.139.239.639.1539.0538.7538.7
48914524.6.39.438.9539.1539.2539.239.3539.7539.839.739.2539.55
49114581.4.3938.938.939.839.4539.239.2539.739.439.339.15
493145917.5.39.1540.639.238.538.739.339.139.0538.938.939.15
511150915.4.39.0539.0538.838.8539.1539.4539.440.2540.6540.0539.15
513151024.7.3939.339.639.6539.4540.2540.339.739.639.2540.85
zum löschen
Stallnr.Tag partus012345678910
9181.4.39.038.638.638.838.738.938.638.838.838.438.9
101920.5.38.838.838.639.138.838.838.639.038.538.8
12202.7.38.838.939.038.838.838.739.038.739.038.7
38.838.738.738.839.139.339.139.139.439.239.2
39.138.738.738.838.738.738.938.840.238.6
38.939.039.039.539.239.238.939.239.238.9
21503.4.39.138.939.038.938.538.738.738.638.838.938.9
235824.6.38.838.638.839.039.039.039.038.938.738.7
39.138.638.938.938.939.039.438.839.339.039.4
39.339.339.539.238.939.339.239.339.138.939.0
39.139.739.739.439.539.039.639.139.139.339.2
39.039.338.939.039.039.439.239.239.139.1
38.738.940.239.640.339.639.239.239.339.239.0
358819.6.39.338.738.738.938.939.038.938.839.039.038.9
39.338.738.938.939.339.739.138.838.838.9
3710022.6.38.838.739.139.339.038.938.838.839.138.9
381035.6.39.339.139.239.338.939.039.239.239.038.739.0
39.338.838.739.038.939.138.839.439.238.939.0
4412118.4.39.239.038.739.139.039.039.339.038.838.838.7
39.639.839.039.139.139.339.239.239.239.139.4
4912925.6.39.038.738.739.039.239.039.239.239.239.339.2
38.938.938.938.639.139.439.539.439.238.738.8
5515211.6.38.838.739.039.338.839.039.139.139.038.639.1
611658.6.38.738.939.238.738.638.638.838.938.838.6
38.938.638.538.639.039.039.239.039.538.939.2
39.138.639.439.439.139.239.439.439.339.439.3
38.839.939.139.039.539.438.939.339.539.939.4
38.839.039.039.439.839.339.439.038.938.738.9
38.838.738.939.039.239.539.039.039.239.339.4
38.738.739.139.139.639.739.539.539.539.439.1
38.939.339.439.239.239.139.639.439.138.838.8
39.339.439.239.639.639.239.239.439.539.2
38.738.839.039.339.239.339.439.239.439.2
8220330.7.38.838.738.739.038.839.239.138.738.738.639.1
8320428.6.38.838.938.939.039.039.138.738.838.838.9
842072.7.39.239.139.139.239.038.939.039.039.139.0
38.638.538.839.139.539.439.739.539.639.2
38.938.638.938.839.039.039.139.439.339.539.3
39.138.638.938.638.738.838.838.838.938.839.5
9124110.4.39.039.239.139.139.339.139.339.339.239.238.9
39.140.039.439.039.539.239.339.039.138.839.0
38.739.738.839.138.938.939.238.939.038.838.7
9725514.3.39.038.838.838.739.138.839.039.139.239.239.2
9825724.5.38.538.538.738.738.738.738.638.738.838.838.8
38.738.839.139.139.538.839.239.039.239.038.9
38.938.739.039.139.339.139.638.838.839.1
39.439.439.039.139.039.139.239.339.339.039.1
39.039.939.539.239.039.039.138.838.938.839.0
39.438.738.738.838.738.938.938.838.638.938.9
39.039.039.739.539.339.739.639.339.238.939.2
1122843.4.38.838.939.039.038.838.838.839.239.038.7
38.738.939.539.439.639.439.739.539.739.539.3
11629116.3.38.839.239.239.238.838.938.839.038.939.139.1
1172922.5.38.939.038.839.039.239.339.038.838.838.638.7
39.339.938.939.539.138.838.839.339.239.238.9
12029915.6.38.638.738.738.838.839.038.939.139.138.8
39.539.239.039.039.139.239.039.339.139.139.3
39.239.439.338.939.439.039.138.838.638.638.5
12831424.4.39.138.838.738.938.739.139.239.339.239.3
12931529.5.38.838.938.839.039.138.839.139.039.239.039.0
38.938.838.838.938.939.038.939.239.239.438.9
38.739.539.139.039.239.038.939.239.539.439.6
1353324.6.38.738.538.639.039.038.939.238.738.739.039.2
39.239.040.239.339.439.139.138.738.838.938.9
39.038.638.638.838.938.839.039.539.339.039.2
14936123.7.38.938.938.738.939.139.139.139.239.139.2
15137111.6.39.138.939.139.039.139.139.139.039.139.139.2
39.638.540.238.838.939.139.539.639.639.639.7
15538620.7.38.938.639.038.739.238.838.839.239.139.239.3
15739123.7.38.738.738.738.738.838.939.038.939.239.0
38.839.538.939.239.038.938.838.938.939.339.6
39.039.639.239.739.238.638.939.238.638.738.7
39.138.939.039.439.239.539.339.439.139.138.6
38.939.639.839.139.139.139.539.639.339.339.3
39.239.138.939.439.138.939.138.938.938.738.7
38.939.538.838.938.838.939.039.038.938.938.8
39.238.838.639.039.440.539.038.839.239.039.1
38.839.139.539.239.339.139.239.439.339.239.3
38.739.339.239.139.339.239.239.439.539.439.7
17843822.7.39.138.938.939.339.338.838.838.938.738.9
1794398.5.38.938.538.638.538.738.738.938.939.038.9
39.438.738.838.939.439.939.539.139.439.439.2
39.139.139.339.239.339.339.239.039.439.839.3
38.639.239.839.439.138.739.138.739.339.2
39.038.638.738.839.239.639.339.439.439.238.9
39.139.439.239.038.939.139.038.638.738.7
19449628.7.39.339.239.239.339.239.138.938.838.738.739.1
39.239.139.239.438.839.039.039.139.339.3
39.038.538.739.039.339.639.639.439.339.139.0
39.539.839.238.739.338.838.738.938.939.0
39.740.539.539.739.139.339.039.239.139.2
20752729.3.39.338.639.039.238.838.939.338.838.938.738.8
39.439.539.438.838.938.938.839.138.939.039.0
39.639.139.139.038.838.838.738.938.738.9
39.239.638.738.638.939.039.039.439.439.539.4
39.438.638.838.938.938.739.038.938.938.738.7
39.239.539.239.039.739.239.339.439.339.439.4
21856613.5.39.139.138.8
38.939.039.439.139.139.039.038.939.539.139.0
39.239.139.539.338.938.838.838.938.738.9
39.139.139.139.639.439.440.139.739.539.2
2255814.8.38.738.538.938.839.138.839.139.338.839.0
39.238.739.138.839.239.239.139.438.938.739.0
38.939.339.739.438.939.639.539.439.640.039.6
2356099.3.39.238.538.838.939.038.938.538.739.038.6
23661325.6.39.238.838.838.738.839.039.138.939.339.238.7
39.139.238.839.339.039.138.939.239.539.1
39.239.239.339.039.139.239.439.339.139.1
39.338.938.938.939.339.639.939.339.539.439.1
24364211.5.39.039.139.039.239.339.239.339.239.339.339.0
39.539.039.339.339.339.639.539.739.739.739.3
24564815.5.39.038.938.838.839.238.839.039.139.138.739.2
38.638.839.439.239.239.139.239.138.939.139.0
38.839.038.939.039.439.039.239.238.838.738.9
39.339.839.639.739.939.539.439.339.539.439.6
39.139.038.438.839.038.939.339.239.938.9
39.139.639.238.938.939.038.838.938.738.9
39.539.640.039.139.138.839.139.440.039.2
39.138.839.539.239.239.739.739.639.539.6
38.739.540.039.339.439.139.439.339.039.338.8
26170631.5.38.638.839.138.738.638.939.338.639.138.9
26270711.6.39.139.339.039.038.938.939.039.139.239.239.3
39.038.938.639.038.838.939.339.139.339.4
38.939.439.439.339.339.139.139.139.339.2
27274520.4.38.638.639.338.838.738.638.738.738.739.2
38.938.739.139.539.939.639.039.039.139.038.7
38.938.838.638.839.038.839.039.539.638.939.2
39.239.139.639.439.439.539.439.539.239.039.3
38.638.738.838.938.838.638.638.939.439.0
39.239.739.839.438.939.339.139.339.039.039.1
39.838.739.038.938.639.239.239.339.039.239.3
39.539.338.938.639.038.838.838.738.838.7
2947994.6.38.838.938.939.238.739.039.238.938.839.2
38.939.039.239.439.239.539.339.039.439.2
39.138.938.938.838.939.239.539.239.239.338.9
38.739.139.839.639.539.639.338.738.938.838.7
38.838.538.538.838.539.239.539.239.639.339.0
38.939.539.138.938.839.339.139.039.138.939.2
38.938.939.039.339.139.138.939.139.239.4
31284013.3.38.638.938.839.139.038.938.838.938.838.9
39.239.038.939.438.939.039.038.939.139.1
38.938.739.338.939.039.438.839.139.239.6
38.838.939.139.439.039.439.339.339.238.639.3
32187310.3.38.438.638.938.938.838.738.738.838.638.938.7
38.738.938.938.738.839.739.338.938.738.8
39.738.938.839.238.938.939.339.038.939.139.1
39.539.039.139.039.039.039.039.039.139.039.1
39.039.039.039.439.039.039.439.439.238.939.1
38.539.639.739.439.339.039.239.239.639.539.5
39.139.039.439.039.139.239.138.939.039.1
38.838.538.838.838.939.239.439.639.438.9
39.239.439.939.339.539.140.039.739.539.339.4
34393530.6.38.538.738.638.738.638.638.938.738.838.839.1
39.839.239.140.339.139.138.938.939.238.938.8
3469409.4.38.539.338.938.938.338.939.239.039.339.0
39.639.438.839.139.339.139.239.139.139.139.0
38.939.039.738.839.039.038.939.338.838.9
39.139.239.539.639.339.139.239.038.939.038.9
36199723.6.38.438.938.838.838.739.338.839.038.939.039.2
38.839.238.538.739.139.239.139.339.139.439.2
39.339.639.839.339.639.139.339.339.439.139.3
39.539.539.138.538.639.339.639.239.039.2
39.639.339.339.539.139.439.338.639.339.1
370102223.7.38.938.839.038.938.739.039.139.139.038.8
372102831.5.39.239.139.039.038.838.938.939.038.839.0
37310315.8.39.238.838.639.039.039.039.139.039.239.138.9
37610382.7.38.939.038.638.738.738.839.338.838.939.139.2
38.739.038.839.439.740.039.539.439.239.339.2
39.838.838.739.338.939.139.639.139.139.238.9
38.638.438.739.238.839.139.339.639.539.4
38.938.739.139.139.139.039.239.039.339.339.5
38710683.8.38.939.038.938.638.939.039.038.939.339.2
388107222.6.38.638.838.738.638.638.538.538.538.639.1
39.039.639.739.439.238.839.339.139.439.1
39210819.4.39.338.939.1
394109718.4.38.839.138.939.338.839.139.138.838.939.0
39.139.039.039.239.239.339.640.139.639.3
40.239.739.339.939.038.738.638.938.638.7
400110815.4.38.938.738.638.838.838.838.938.738.738.839.0
38.739.139.740.039.739.739.239.239.238.938.9
38.839.939.739.739.439.139.039.138.939.439.0
39.239.239.439.339.138.639.138.838.838.9
38.839.139.138.939.339.139.039.139.239.4
411114413.3.39.338.938.839.038.939.038.838.838.838.938.8
38.940.639.338.838.838.939.239.039.339.3
39.239.239.438.939.539.539.139.238.939.339.2
420120625.7.39.039.239.339.138.938.939.139.039.239.2
38.939.039.038.739.439.438.938.939.038.7
39.339.039.039.439.839.739.240.139.239.4
425122530.5.38.938.738.939.138.638.838.839.139.239.2
42612305.4.38.838.738.839.139.038.939.139.339.339.3
39.839.239.239.138.938.938.939.938.738.7
38.838.938.639.139.438.838.938.638.638.738.5
431124029.4.38.738.938.938.738.738.938.839.039.139.0
432124717.5.38.738.739.038.739.038.939.038.939.039.039.0
39.139.039.139.139.539.639.339.238.939.439.6
39.238.939.339.639.239.239.038.739.039.139.0
39.439.639.239.639.139.039.439.239.539.339.1
38.838.939.539.039.139.039.038.939.039.739.4
44512865.8.39.138.938.939.038.938.939.039.239.039.339.1
39.439.238.539.038.938.739.238.838.639.1
455133125.7.39.038.538.638.939.238.939.339.138.838.938.7
38.738.839.839.339.739.439.139.239.639.339.4
461136613.7.39.038.638.739.039.139.039.139.338.739.3
39.038.938.938.839.039.239.639.739.839.539.7
463137212.6.38.839.139.038.739.239.239.339.039.239.339.0
46413763.7.38.938.838.838.638.938.838.838.838.738.8
39.240.039.739.139.438.839.139.339.038.939.0
38.839.339.038.739.138.839.639.239.039.1
472140621.3.39.238.638.838.838.839.138.639.038.639.139.0
39.539.139.539.939.539.339.038.938.938.738.6
38.938.839.439.540.239.339.039.138.439.038.7
39.539.739.539.039.138.939.039.038.838.6
39.038.939.339.439.639.539.339.339.239.2
39.039.039.739.639.338.939.039.238.839.239.0
39.039.739.739.539.438.638.838.838.738.838.7
39.038.938.939.839.539.239.339.739.439.339.2
38.538.838.838.938.938.939.039.739.239.2
39.240.639.238.538.739.339.139.138.938.939.2
38.939.239.039.439.238.939.139.239.139.339.0
39.139.539.639.539.139.039.038.939.039.1
49614688.5.39.038.839.139.039.039.138.939.138.839.239.3
38.838.638.939.539.439.439.239.239.739.439.4
38.939.539.539.139.139.039.139.439.039.0
500147420.6.38.938.838.938.638.938.639.039.139.139.3
38.938.939.039.539.239.539.339.639.339.4
50414848.4.39.239.039.338.739.039.139.339.238.839.038.9
508149727.4.38.638.539.038.838.938.838.938.538.938.838.9
38.738.839.739.539.239.239.139.139.239.239.1
38.839.539.139.238.9
01234567891055
> 39,72715131573449281
> 39,6366231710668125102
> 39,53914181113148151116132
> 39,45911201611199171922158
> 39,36109181991721142741191
0+11+22+33+44+55+66+77+88+99+10
> 39,7068841421
> 39,6
> 39,5
> 39,4
> 39,3
Tabelle Fieber
Tag derAnzahl der
MessungKühe
post partummit Fieber5183224211286710214081
1. Tag18
2. Tag32
3. Tag24
4. Tag21
5. Tag12
6. Tag8
7. Tag6
8. Tag7
9. Tag10
10. Tag2
Tabelle Fieber
Tag post partum
° C
Tabelle3
4920.4.39.839.640.0540.0539.939.4539.1539.4539.4539.239.35
4712716.6.4039.0539.640.239.9539.439.5539.339.239.138.8
2907901.8.39.838.6538.9538.8538.5539.239.1539.338.9539.239.25
34593728.3.39.839.1539.140.2539.0539.0538.938.939.238.8538.8
380104925.6.39.838.7538.739.338.8539.0539.639.139.0539.238.9
2514.3.39.139.7539.8539.3539.7539.6539.3539.439.1538.8539
51026.6.39.140.0540.2540.239.6539.6539.2539.4539.0538.939.05
4612516.4.39.639.7538.9539.139.139.2539.1539.1539.239.139.35
6416917.6.38.839.939.13939.4539.438.939.2539.539.8539.35
9424728.5.39.14039.438.9539.4539.239.2538.9539.0538.839
10627410.6.3939.8539.4539.1538.953939.0538.838.8538.7539
11929519.5.39.339.8538.8539.539.138.7538.839.2539.239.1538.85
12330823.4.39.14040.9539.339.8539.6539.839.43939.1539.2
18044214.6.40.1540.2539.639.0539.0539.139.0539.639.6539.6
20954022.6.39.839.9539.539.0539.0539.239.0539.0539.239.45
22257715.4.39.8539.93938.238.5538.3538.438.6538.3538.7
25266519.6.39.339.839.639.6539.8539.4539.3539.339.4539.439.6
35396815.3.40.0540.6539.4539.2539.539.1539.239.139.239.4
39911059.3.40.239.739.2539.8538.9538.738.638.938.638.65
402112321.7.38.839.939.6539.739.3539.053939.138.939.3539
427123320.6.39.7539.1539.1539.0538.8538.938.8539.938.6538.7
468139614.3.39.239.9539.6539.0539.438.839.139.2538.9538.939
493145917.5.39.1540.639.238.538.739.339.139.0538.938.939.15
348413.4.38.738.940.1539.640.339.5539.239.239.2539.238.95
4812818.4.39.4540.539.7539.839.439.439.139.13939.05
22658724.3.39.240.539.839.239.239.9539.939.339.0539.05
7418022.5.39.5540.4539.8539.2539.239.539.139.1538.9539.05
81614.4.39.739.439.7540.1539.439.253939.3539.0539.1539.05
10526814.4.39.140.4541.1540.539.1538.938.638.6538.738.7
1644101.6.38.939.5539.839.139.0539.0539.4539.639.2539.2539.25
1102818.4.39.739.2540.139.9538.7539.3539.33938.838.938.55
13733621.3.39.23940.239.339.439.0539.0538.738.7538.938.9
15237510.6.39.638.540.1538.838.8539.139.4539.639.639.5539.65
2045232.6.39.4539.839.1538.739.338.838.6538.938.939
20552531.7.39.740.4539.539.739.139.33939.239.0539.15
24765131.3.39.439.9540.1539.139.339.238.839.3539.0538.65
25969110.4.38.739.54039.339.3539.0539.3539.2538.9539.338.8
27474818.4.39.139.640.540.238.73938.939.0539.138.8539.2
28678028.5.39.239.6539.7539.438.8539.339.139.3393939.1
417119711.3.38.940.5539.338.7538.838.8539.23939.339.25
3008113.5.38.739.139.839.639.539.5539.338.6538.8538.838.7
33591513.3.39.139.639.7539.839.2539.3539.339.339.5539.239.4
34193010.6.39.239.439.8539.2539.4539.054039.6539.4539.339.35
453132713.4.38.839.454040.339.7539.138.9539.2538.738.8538.75
458135631.3.38.738.7539.839.2539.739.439.0539.239.5539.339.35
36299823.3.39.240.239.8539.05393938.9539.138.838.7
366101021.7.39.2539.639.7539.2539.639.0539.339.2539.3539.139.25
18445428.3.38.5539.239.839.3539.0538.739.0538.6539.2539.2
2566857.6.39.539.639.9539.139.138.839.139.439.9539.2
41912037.6.3939.239.6540.0539.7539.3539.0539.139.153939.05
474140821.7.39.539.0539.539.8539.4539.33938.8538.8538.738.6
21354920.5.38.638.8539.239.8539.9539.2539.2539.1539.339.439.55
276412.7.38.738.7539.4539.8540.240.139.6539.4539.3539.539.3
48714495.4.38.8539.3540.3540.139.239.639.1539.0538.7538.7
401112228.4.38.739.139.654039.6539.6539.239.239.1538.938.85
49114581.4.3938.938.939.839.4539.239.2539.739.439.339.15
7117625.5.38.838.953939.439.839.339.3538.9538.938.738.9
701755.4.3939.053939.5540.0539.839.939.839.639.2539.5
15639010.4.39.238.939.0540.340.339.5539.2539.439.139
2777571.8.38.938.6539.139.539.8539.55393939.0538.9538.7
32388024.4.39.239.6538.939.0540.140.339.639.138.9539.139
404113028.7.39.4539.139.640.440.639.6539.639.539.339.45
478141712.7.38.938.7539.439.4540.1539.253939.0538.438.9538.7
1734326.6.39.238.838.638.9539.440.4538.9538.7539.238.9539.05
31585025.7.39.538.9539.0539.439.639.839.7539.8539.4539.7539.55
18144622.4.39.3538.738.7538.939.3539.8539.4539.0539.3539.3539.15
35598115.3.39.2539.239.4539.1539.93939.44040.2539.8
379104823.6.38.738.9538.839.439.74039.539.439.1539.2539.2
422121625.5.39.2538.953939.3539.7539.739.240.0539.1539.35
513151024.7.3939.339.639.6539.4540.2540.339.739.639.2540.85
2406314.5.39.338.8538.8538.939.2539.5539.8539.2539.539.439.1
48914524.6.39.438.9539.1539.2539.239.3539.7539.839.739.2539.55
511150915.4.39.0539.0538.838.8539.1539.4539.440.2540.6540.0539.15
2245792.4.39.0539.139.0539.5539.439.3540.0539.6539.4539.2
396109918.7.39.138.9538.9539.239.1539.339.640.0539.639.3
449131319.6.39.138.7538.7539.6539.3539.439.639.439.9539.839.05
462137022.5.3938.938.8538.83939.239.639.6539.839.539.65
184310.3.39.0538.738.738.7538.6538.738.8538.840.238.6
18345327.7.39.0539.139.339.1539.2539.339.238.9539.439.7539.3
23460815.7.38.939.2539.739.438.8539.5539.4539.439.639.9539.6
2546742.7.39.138.9538.438.753938.8539.2539.1539.8538.9
MW
Min
Max
Stabw.
38,5
39
39,5
12345678910
Tag
post partum
°C
MBD002497E1.xls
Diagramm1
39.10.3900441340.390044134
39.10.48402045640.4840204564
39.20.40714405750.4071440575
39.10.37866128680.3786612868
39.10.34170100750.3417010075
39.10.30228791590.3022879159
39.10.29386195440.2938619544
39.10.31901197680.3190119768
39.10.31245312060.3124531206
39.10.28392511140.2839251114
Tag post partum
°C
gesund gesamt
Tag derTageszeitMWsMinMaxMWsMinMax
Messungin °Cin °Cin °Cin °Cin °Cin °Cin °Cin °C
Tag partusmorgens39.20.313809162538.739.739.0434782609
abends39.02392638040.308487820338.4400.313033578738.440
1. Tagmorgens39.00871212120.423680964238.140.4
post partumabends39.09545454550.500321362338.140.839.05208333330.465177749238.140.8
2. Tagmorgens39.07537878790.495109014138.241039.04347826090.3130335787
post partumabends39.22357414450.572038808238.441.439.14933586340.53949925338.241.4139.05208333330.4651777492
3. Tagmorgens39.09885496180.444591406938.340.7239.14933586340.539499253
post partumabends39.2087786260.505258968438.341.639.15381679390.478610094138.341.6339.15381679390.4786100941
4. Tagmorgens39.03854961830.42018354343840.9439.14110898660.4518717073
post partumabends39.24406130270.45986325323841.539.14110898660.45187170733841.5539.10536398470.4065797154
5. Tagmorgens39.02605363980.400109769838.341.3639.11264367820.3612107804
post partumabends39.18467432950.39816259438.140.639.10536398470.406579715438.141.3739.10095785440.3542706846
6. Tagmorgens39.03448275860.347682742138.440.3839.10057581570.3663484765
post partumabends39.19080459770.35818952353840.639.11264367820.36121078043840.6939.07567049810.3671778958
7. Tagmorgens39.02337164750.317849946238.2401039.0628352490.3287824448
post partumabends39.17854406130.372000034938.440.939.10095785440.354270684638.240.9
8. Tagmorgens39.05632183910.363857902138.240.7
post partumabends39.1450.364143359338.44139.10057581570.366348476538.24139.0998063926
9. Tagmorgens39.02720306510.369702886138.241.20.0383060732
post partumabends39.1241379310.358833210938.140.439.07567049810.367177895838.141.239.0434782609
10. Tagmorgens39.00536398470.333815301438.44139.1538167939
post partumabends39.12030651340.313922917338.440.739.0628352490.328782444838.441
moab
039.20.313809162538.739.739.02392638040.308487820338.4400.176
139.00871212120.423680964238.140.439.09545454550.500321362338.140.80.0867424242
239.07537878790.495109014138.24139.22357414450.572038808238.441.40.1481953566
339.09885496180.444591406938.340.739.2087786260.505258968438.341.60.1099236641
439.03854961830.42018354343840.939.24406130270.45986325323841.50.2055116844
539.02605363980.400109769838.341.339.18467432950.39816259438.140.60.1586206897
639.03448275860.347682742138.440.339.19080459770.35818952353840.60.1563218391
739.02337164750.317849946238.24039.17854406130.372000034938.440.90.1551724138
839.05632183910.363857902138.240.739.1450.364143359338.4410.0886781609
939.02720306510.369702886138.241.239.1241379310.358833210938.140.40.0969348659
1039.00536398470.333815301438.44139.12030651340.313922917338.440.70.1149425287
MW0.1360948752
s0.0389716544
0.0867424242
0.2055116844
gesund gesamt
00
00
00
00
00
00
00
00
00
00
00
morgens
abends
Tag post partum
°C
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Tabelle2
00.31303357870.3130335787
00.46517774920.4651777492
00.5394992530.539499253
00.47861009410.4786100941
00.45187170730.4518717073
00.40657971540.4065797154
00.36121078040.3612107804
00.35427068460.3542706846
00.36634847650.3663484765
00.36717789580.3671778958
00.32878244480.3287824448
Tag post partum
°C
0
0
0
0
0
0
0
0
0
0
0
Tabelle3
Diagnostik
Temperatur- Metritis puerperalis
grenze in °C Sensitivität Spezifität
> 39,3 0,9 0,3
> 39,4 0,8 0,4
> 39,5 0,8 0,5
> 39,6 0,7 0,6
> 39,7 0,6 0,7
Sensitivität und Spezifität unterschiedlicher Temperaturgrenzwerte zur Detektion einer Metritis puerperalis (n = 74)
Diagnostik
Schulungspotential in Abhängigkeit zur betrieblichen Situation
VorführenderPräsentationsnotizenFAMACHA SCORE
Transrektale Palpation- Größe: in Abhängigkeit zum Zeitpunkt post partum
- körperlich anstrengend- Tonisierung- Zervixdurchmesser- Sonstige Befunde, um das
Krankheitsbild richtig einzuschätzen
Diagnostik
Vaginale Untersuchung- Hygiene (Kuh und Gerät)- Schmerz bzw. Stress (Pilz et al., 2014)
- sinnvoll zur Erfassung des gesamten Krankheitsbildes (z. B. Geburtsverletzungen), Möglichkeit des Zeigens
- Cave: Bei geschlossener Zervix kann eine ungestörte Uterusinvolution vorgetäuscht werden
Diagnostik
Diagnostik
VorführenderPräsentationsnotizenBis zu 20 % Verlust – Meeressäuger bis zu 40 %
Diagnostik - Ultraschall
Referenzbereiche für den ultrasonographisch gemessenen Durchmesservon Zervix und Uterus für Fleckviehkühen mit einem physiologischenPuerperium am 42. Tag p. p. in cm (n = 102) (aus Hofer, 2019)
Physiologisches
Puerperium
Zervix 2,3 - 3,0
Corpus 2,0 – 2,7
Rechtes Horn 1,8 – 2,2
Linkes Horn 1,7 – 2,2
VorführenderPräsentationsnotizenBis zu 20 % Verlust – Meeressäuger bis zu 40 %
Methoden im Vergleich
- Wichtig für die individuelle Behandlung ist eine umfassende Diagnostik (auch Prävention)
Betrieb 1: Metritiden mit GeburtsverletzungenBetrieb 2: Metritiden, antepartal NEFA hoch
Diagnostik
VorführenderPräsentationsnotizenBis zu 20 % Verlust – Meeressäuger bis zu 40 %
- Uterustupferprobenentnahme- Annahme: Der gesunde Uterus ist steril.
Es gibt „maligne Keime“.
Diagnostik
Pathogene Fakultativ Pathogene Opportunisten
Trueperella pyogenes Bacillus licheniformis Clostridium perfringens
Prevotella melaninogenica Enterococcus faecalis Klebsiella pneumonia
Escherichia coli Mannheimia haemolytica Micrococcus spp.
Fusobacterium necrophorum Pasteurella multocida Providencia stuartii
Proteus spp. Peptostreptococcus species
Koagulase negative Streptokokken
Staphylococcus aureus α-hämolysierende Streptokokken
Nicht hämolysierende Streptokokken
Streptococcus acidominimusAspergillus spp.
Williams et al. 2007Klares Weltbild: Freund, Feind
Diagnostik
Diagnostik
E. coli Wegbereiter für T. pyogenes
T. pyogenes
Fusobacterium necrophorumLeukotoxin
Prevotella melaninogenicusphagozytoseunterdrückendes Toxin
Koagulase negative Staphylokokken
α-hämolysierende Streptokokken
Bestimmte Keimgruppen stellen eine Schutz- bzw. Induktionsfunktion für die Ausbildung einer Uterusinfektion dar.
VorführenderPräsentationsnotizen
Diagnostik
VorführenderPräsentationsnotizen12 Kühe, 2019: ein Milliarde Rinder auf der Welt, Probe Tag 0 (20 Minuten) und Tag 2
- Eine gewisse mikrobiologische Besiedlung scheint normal zu sein „residentes uterines Mikrobiom“ (auch bei Färsen und trächtigen Kühen)
- Individuell und wird früh im Leben erworben („durch die vaginale Geburt“)
- Auch bei ungestörten Trächtigkeiten wurden Bakterien gefunden, die als pathogen gelten:- Trueperella spp.- Acinetobacter spp.- Fusobacteria spp.
Diagnostik
VorführenderPräsentationsnotizen16 S rRNA sequenzing, 10 Färsen im Östrus – 5 trächtige Kühe
- Die Nachweis von Mikroorganismen hängt von der Methode ab.
- Giudice (2016): weniger als 1% wachsen unter herkömmlichen Kultivierungsbedingungen
- Schwierigkeiten des Vergleiches von Ergebnissen bei Anwendung unterschiedlicher Techniken
- Wer nur Bakterien sucht, wird nur Bakterien finden.
Diagnostik
In conclusion, BoHV-4 infection is associated with reduced chances for insemination and pregnancy by 200 dpp and showed a trend to be associated with increased risk for clinical endometritis. Furthermore, BoHV-4 and Trueperella pyogenes infections are strongly related.
- Ausscheidung mit dem Nasensekret, zellassoziierte Virämie
- Tropismus zu Gefäßendothelzellen, Mammagewebe, Endometrium, Fetus
- Nachweis im Zusammenhang mit: Metritis, Vulvovaginitis, Endometritis, Aborten und häufiger im Uterus bei umrindernden Tieren
- Zur Krankheitsauslösung Kooperation mit Bakterien notwendig
Diagnostik
- 111 Kühe, vaginale Proben -7., 0, 3., 7. Tag
- später Metritis: Proteobacteria (-7., 0.), Fusobacteria (3., 7.)
- später Endometritis: Bacteroidetes (7.)
Diagnostik
VorführenderPräsentationsnotizenNext generation sequenzing 16 S r RNA and quantitative PCR
Phylum Stamm- Klasse – Ordnung - Familie
- 112 Kühe, wiederholt post partum aus Uterus- Technik, die auf aerober Kultur basiert: 202 verschiedene Spezies
- S. uberis an Tag 3 erhöht das Risiko einer späteren T. pyogenes-Infektionan Tag 9
- S. uberis ist nicht gleich S. uberis- - Unterschiede zwischen Kühen mit unterschiedlichen Ausflußqualitäten
Diagnostik
VorführenderPräsentationsnotizenFourier-Transform-Infarotspektrometrie, Kultiviert Mikroorganismen vergleicht deren Spektren mit Datenbanken – Genus manchmal Speziesdiagnostik
- Nur ein Bruchteil wird mit den Methoden in der „normalen“ Diagnostik erfasst
- sehr dynamisch
- Keimkonstellationen und –populationen
- Statistik: Zuordnung zu „gefährlicher“, „harmloser“, „nützlicher“ Keim
Diagnostik
- Antibiotika
- Hormone
- Schmerzmittel
- Infusionen
- Begleitmaßnahmen: - Aufstallung, Fütterung, Tränke, usw.
Therapie
Selbstheilungsrate bis zu 55 %
- Antibiotika: Reduktion, rechtliche Vorgaben,Es fehlen gute Vergleichsstudien zwischen AB und Alternativen (Haimerl et al., 2017)Kein vollständiger Verzicht auf AB möglich (Pohl et al., 2016)
- Hormone: siehe nächster Vortrag
- Schmerzmittel
- Begleitmaßnahmen: - Aufstallung, Fütterung, Tränke, usw.
Therapie
Was sagen andere?
Antibiotika
Therapie
- Schmerzhafte Erkrankung
Therapie
- Definition: > 39,5 C, geruchlich-abweichender, wässrig-rötlicher Ausfluß, erste zehn Tage post partum
- Sechs Betriebe in Nordostdeutschland (732 – 2244 Milchkühe)
- Randomisierte Gruppenzuteilung:Gruppe 1: Ketoprofen (3 mg/kg KM)Gruppe 2: Ceftiofur (1 mg /kg KM)beide Gruppen wurden über drei Tage behandelt
Therapie
- Randomisierte Gruppenzuteilung:Gruppe 1: Ketoprofen (3 mg/kg KM), 300 Kühe -35Gruppe 2: Ceftiofur (1 mg /kg KM), 310 Kühe -17
- > 39,5 Grad C an Tag 4:
- weitere Behandlung antibiotisch: G1 3 Tage, G2 2 Tage
- Weiteres Fieber: individuelle Behandlung
Therapie
- Randomisierte Gruppenzuteilung:Gruppe 1: Ketoprofen (3 mg/kg KM)Gruppe 2: Ceftiofur (1 mg /kg KM)
Ergebnisse:
Bei 61% der Kühe aus Gruppe 1 musste eine antibiotische Behandlungsverlängerung durchgeführt werden (Gruppe 2: 31 %)
- Gruppe 1: signifikante Einsparung von Antibiotika
- Prävention
- Immunmodulation (Impfung gegen „Metritis“)
- Kombinationsbehandlungen
Wie geht es weiter?
- Kombination von Methoden - Praxisrelevanz
- Automatische Methoden: Vorauswahl gut
- Herausforderung an die frühe Diagnostik
- Therapie: Standards mit individueller Komponente (Kuh und Betrieb)
Zusammenfassung
Update zur Diagnose und Therapie von Uterusinvolutionsstörungen
Axel Wehrend
Klinikum Veterinärmedizin - Klinik für Geburtshilfe, Gynäkologie und Andrologie der Groß- und Kleintiere mit Tierärztlicher Ambulanz der JLU
Gießen
KlinikumVeterinärmedizin
Foliennummer 1Foliennummer 2Foliennummer 3Foliennummer 4Foliennummer 5Foliennummer 6Foliennummer 7Foliennummer 8Foliennummer 9Foliennummer 10Foliennummer 11Foliennummer 12Foliennummer 13Foliennummer 14Foliennummer 15Foliennummer 16Foliennummer 17Foliennummer 18Foliennummer 19Foliennummer 20Foliennummer 21Foliennummer 22Foliennummer 23Foliennummer 24Foliennummer 25Foliennummer 26Foliennummer 27Foliennummer 28Foliennummer 29Foliennummer 30Foliennummer 31Foliennummer 32Foliennummer 33Foliennummer 34Foliennummer 35Foliennummer 36Foliennummer 37Foliennummer 38Foliennummer 39Foliennummer 40Foliennummer 41Foliennummer 42Foliennummer 43Foliennummer 44Foliennummer 45