回复总结:猫咪反复尿闭考虑是由于根本病因没有得到解决,如频繁发情、尿液结晶、尿道发炎等问题,猫咪有尿液结晶并且由于公猫尿道特殊性就会频繁复发尿闭的问题。这种情况不单给予修复膀胱的用药,还需要给予控制结晶药物减少尿液结晶,降低复发概率,并且还需要给予猫咪吃专用的泌尿道处方粮,饮用水改成纯净水。此外,也可能因为尿管的刺激引发尿道增生,从而导致尿道狭窄,一但发生尿道狭窄非常容易导致尿闭反复,只能进行尿道改造手术。
问题大致一样,细节不同?
医生,我家猫第一次尿频在一个月前左右打针吃药好了十天又复发又打针吃药过两天又不行了,十几天前去了导尿回来好了十天又复发了,前天X光和抽血检查并没有什么问题,我想问到底怎么回事
陈奕达
执业兽医师
您好,感谢您的信任,谢谢。根据您的描述,猫咪如果反复的尿闭,还是由于根本病因没有得到解决,如频繁发情,尿液结晶,尿道发炎等问题。
然后我还有几个问题询问您一下,以进一步了解猫咪的情况。1.猫咪多大年龄?2.猫咪是否有绝育?3.猫咪多久发病一次?4.猫咪是否有维持用药?吃的都是什么药物?5.是否给猫咪吃专用的处方粮?6.猫咪是公猫还是母猫?
公猫,蓝猫已绝育4岁,现在一个月内复发了第四次了,之前吃过***,后面导尿后吃的***期间有四五天因为肠胃问题停了***然后又复发了,之前说是有点结晶
陈奕达
执业兽医师
您好,感谢您的信任,谢谢。根据您的描述,1.猫咪的泌尿系统问题一直都是没有得到根本解决。2.猫咪有尿液结晶,并且由于公猫尿道特殊性,就会频道的复发尿闭的问题。3.这种情况不单单给予修复膀胱的用药,还需要给予控制结晶药物。减少尿液结晶,降低复发概率。还需要给予猫咪吃专用的泌尿道处方粮。饮用水改成纯净水。
4.猫咪现在的尿尿,以及精神状态,吃喝欲望如何?
前天做的检查并没有说有结晶,白细胞也正常也没有炎症,第一次发病就开始吃处方粮了,吃东西正常精神也是,喝水比以前喝的较多
陈奕达
执业兽医师
您好,1.如果已经确诊没有结晶问题,那么猫咪这种情况,唯一的可能就是尿道狭窄的问题了。2.因为公猫的尿道有一个非常特殊的结构,就是倒锥形态,越到尿道口的位置,尿道越狭窄。而发生尿闭的猫咪,经过导尿之后,就有可能因为尿管的刺激,引发尿道增生,从而进一步导致尿道狭窄。3.一但发生尿道狭窄,那么尿闭问题非常容易反复。并且这种情况,唯一的解决方案就是进行尿道改造手术。
可是它前几年都一直没有这样吧,就突然尿道狭窄了吗?如果是这个问题除了做尿道改造手术真没别的办法吗?它没有完全尿不出来,一直都是尿频一点点这样,因为实在不想走手上那一步,能开点什么药吗
陈奕达
执业兽医师
您好,1.有过导尿的猫咪,只要尿管刺激,就有概率出现尿道增生,导致尿道狭窄问题。2.尿道狭窄并不是突然出现的,跟导尿,尿管刺激有很大关系。3.尿道狭窄,属于尿道被刺激之后,出现增生导致的,如果已经影响排尿,导致尿闭问题反复发作,是需要考虑手术的。(尿道狭窄,属于物理性变化,只能进行手术,拓宽尿道)。4.可以给您开具一些治疗下泌尿道的药物,对猫咪进行一定的泌尿道维护,看看效果如何。
陈奕达
执业兽医师
您好,感谢您的信任,这边暂时先给您推荐一套适合宝贝现在症状的用药,可以先用药3-4天,如果效果很好,可以持续用药1-2周的时间。但是如果效果不理想,一定要及时就诊治疗,以免耽误宝贝的治疗时机。具体用法用量可以点击下方(查看详情按钮)处方查看。处方开出后,您可以通过处方自主选购药品。
然后您可以用药7天后找我复诊,我会根据宝贝恢复的情况来帮您重新制定或者调整治疗方案。
(由于没有宝贝的详细体重信息,然后预估宝贝体重为5公斤体重计算用药量,如果预估不准确,您可以根据宝贝实际体重,结合药物说明书,重新计算用量)
医生建议及处方根据当前病情给出,仅适用于本次问诊
蘑菇宠医处方笺
用法用量需根据患宠的年龄、体重等信息开具,此处方暂不展示
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