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発情周期のステージ推測④ 超音波検査を用いて黄体の変化を診る

昨日に引き続き、’’超音波検査’’を用いた発情周期のステージ予測における考え方について説明します。

昨日は、①卵胞ウェーブと子宮所見から診る発情ステージの推測法、についてでしたが、今日は、②黄体から診る発情ステージの推測法について勉強していきたいと思います。

卵胞ウェーブ同様に、黄体も発情周期の中で変化を続けます。変化のチェック項目を、黄体の硬さ、大きさ、輝度、内腔、と自分はしています。

硬さは重要な所見で、発情周期の区画①や②は軟らかく、③や④では弾力性があり、⑤は硬めです41)。黄体の大きさは、排卵後徐々に大きくなり、day5でほとんどの牛は20 mmを超え32)、day11~15くらいで最大の大きさに成長し、その後退行します6)

黄体の超音波検査所見において説明します。排卵後形成されてまもない黄体はやや黒みがあります。形成中に徐々に白みが増すことで灰色が強くなり、実質との境界が明瞭な機能性黄体に発育を続けます(図6:day11)。退行黄体は白色が増し卵巣実質と境界が不明瞭になってきます(図7)。

図6 開花期黄体

図6 形成初期黄体と退行黄体の違い。 左は形成初期黄体で実質よりもやや黒みが強く、実質との境界が明瞭。右は退行黄体で白色が強く、実質との境界が不明瞭な部分がある。

なぜ、黄体は黒い状態から白い状態に移っていくのかについて少し説明します。排卵後は血流が豊富のため水分が多いですが、その後徐々に減少しトリグリセリドが増加していきます42)。脂肪は白く、水分は黒く描出されるMRI検査においても、黄体の輝度は排卵後徐々に強くなる傾向がみえ、輝度の強さは結合組織やトリグリセリドの増加と関係していることが報告されています43)。超音波検査では水分が多いほど低輝度に描出されるので、排卵後の黄体は黒く、そこから徐々に白みが増していくと考えられます。また、day16~18の黄体退行開始時には一時的に黄体血流が増加するため、超音波検査で黒く描出されることがあります45)。区画⑤において、黄体退行によるプロジェステロン濃度低下に比べ黄体サイズの縮小は緩やかなため、発情時でも黄体サイズがまだ十分なサイズを残している牛もいるので、黄体サイズに加え、黄体のエコー輝度は周期ステージ推測の判断材料として有用です。

黄体内腔については、排卵後間もない形成期は42.1%の牛で内腔が観察され、経過とともに内腔を持つ牛の割合が徐々に減少する41)

次回はこのシリーズの最後になりますが、発情周期のステージ推測についての考え方の’’まとめ’’を述べたいと思います。

 

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