猫咪肾衰竭与尿闭治疗方法一样吗

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咨询描述:你好,猫咪尿闭,已经导尿了,但是没有做生化血检,如果有肾衰竭治疗方法是不是和尿闭一样呢

回复总结:猫咪尿闭需要插管后做膀胱冲洗,还要找到的发病因,检查是由于发情、膀胱炎、自发性膀胱炎或者是其他原因造成。如果发生肾衰竭,需要用大量补液的方式减轻肾脏负担,然后使用一些治疗肾脏的药物即可。如果是自发性膀胱炎需要用止疼药,还要用修复膀胱粘膜的药物,并且建议插管,因为后续可能还需要冲洗膀胱,同时也可以选择静脉补液配合治疗肾脏的药物覆盖治疗。如果猫咪已经出现精神沉郁,那么建议用治疗肾脏的药物。

问题大致一样,细节不同?

点击获取针对性解答

徐灿

执业兽医师

我需要和你说一下,这两个不是一个事情,尿闭的话,要插管,然后做膀胱冲洗,还要找到的原发病因,看一下是由于发情,膀胱炎,自发性膀胱炎,又或者是其他原因造成的,如果发生肾衰竭的话,得用大量补液的方式减轻肾脏负担,然后使用一些治疗肾脏的药物即可,只要能够快速的让她的身体得到恢复。

是应激引起的自发性膀胱炎,今天7点发现精神状态较差,呕吐,有排尿动作,10点及时送到医院后医生说尿闭,照了片子和彩超,我着急让医生先把猫尿导出来,没来得及做生化,另外一个原因是猫咪平时状态还算好,所以感觉生化不太需要,回家查阅网上信息,发现急性肾衰竭和尿闭病情高度关联,所以担心没做生化会影响到猫咪治疗。请问我应该怎么做呢

徐灿

执业兽医师

这种情况实际上治疗的话比较明确,自发性膀胱炎,得用止疼药,还得用修复膀胱粘膜的,而且建议是插管,因为后续的话可能还得冲洗膀胱,你也可以选择静脉补液,并且加上治疗肾脏的药物覆盖治疗,这实际上也是行得通的。同时,他现在已经精神沉郁了,所以建议用治疗肾脏的药物。

如果猫咪肾脏没有问题,吃药会对他有影响吗?

徐灿

执业兽医师

如果肾脏没有问题的话,那么也没有太大问题,这也是为什么说可以做到覆盖治疗的原因,因为肯定憋尿时间长,或多或少会有影响,使用之后也并没有太大异常,所以如果你需要的话,我可以帮你开个建议,但是我需要知道准确体重。不过,对于自发性膀胱炎来说,平时的冲洗和止疼药物的使用都很重要。

猫咪在医院插管输液治疗尿闭中,3天住院期,我接回家之后喂药可以吗?

徐灿

执业兽医师

一般来说,自发性膀胱炎都是由于压力应激造成的,最好还是接回家里面处理,住院的话,有的时候会加重,然后可以把导尿管滞留,每天对膀胱进行冲洗就行,主要是要把里面的脱落的膀胱上皮冲洗出来,然后后续持续用药即可。

家里还有一只大猫,担心大猫会舔富贵,没有一个合适的环境让猫猫恢复,因此让它在医院了,唉。谢谢医生深夜回复,您的解答让我倍感欣慰,辛苦了

徐灿

执业兽医师

一般来说,猫咪是不会舔对方生殖器的,只要隔离或者分开就行,而且一般插管都是缝合在包皮上的,这种情况后续你可以接回家了,然后每天进行冲洗,多观察即可,后续用药方案实际都差不多。因为自发性膀胱炎,反正就是和情绪和应激有关,家回来之后你也可以用情绪舒缓剂,也可以在很大程度上缓解情绪帮助恢复,我也帮你开个建议,你可以参考使用。

医生建议及处方根据当前病情给出,仅适用于本次问诊

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猫咪长期尿闭出现呕吐是肾衰竭的症状。临床上治疗建议首先给猫咪导尿降低膀胱压力,避免因憋尿过久而引起膀胱破裂。然后需要给猫咪冲洗膀胱,同时将造成堵塞的结晶冲刷出来后使用解痉挛药物放松尿道平滑肌和括约肌,促进尿液的排出;如果猫咪憋尿超过48小时,建议带猫咪到宠物医院留置导尿管和安装尿袋,通过输液的方式进行消炎和代谢,尽快恢复肾脏正常功能。

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如果猫咪是由于尿闭引起的肾衰竭,治疗方面建议带猫咪去宠物医院做导尿和尿管留置,帮助猫咪排尿。正常来讲,尿管最长时间留置可以达到7-14天的时间。同时,给猫咪进行静脉输液和打针进行保肾治疗。如果暂时不方便去宠物医院就诊,加以给猫咪进行口服消炎药和利尿的药物,同时配合服用治疗下泌尿道综合症的药物。

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您好家长,感谢您对我的信任!问题我已经看到,我需要 一段时间进行分析,并编辑文字回复您的问题。您只有 5 次追问机会,请勿回复此条消息,以免浪费您的追问机会。”

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