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?
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。
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
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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