咨询描述:公猫一岁半,疫苗全程接种,月初内外驱虫完毕,最近三天开始频繁呕吐,第一次是呕吐未消化猫粮,最近一次是黄色粘稠液体。已经附上血常规和生化检测报告,请帮我看看什么原因导致呕吐,已经皮下注射止吐针,还可以怎么治疗输什么液体
回复总结:猫咪出现频繁呕吐并且吐黄水的症状,极大可能有肝脏方面的疾病。如果没有进行过肝脏影像方面的检查,建议给猫咪做肝脏的彩超检查,进一步判断肝脏的形态是否有异常,然后再进行针对性用药治疗。如果暂时不方便进一步检查,除了给予对症的止吐用药以外还需要给予猫咪进行静脉输液,补充能量以及营养,同时服用保护肝脏的药物以及广谱消炎用药。
问题大致一样,细节不同?
陈奕达
执业兽医师
根据您提供的信息来看,猫咪是有肝脏方面的疾病问题,但仅仅根据目前信息还不能做出进一步的判断。我还有几个问题需要向您核实一下:
1. 猫咪发病多久了?然后发病之前,都喂过什么食物?;
2. 猫咪除了呕吐,是否还有其它症状?
3. 猫咪除了图片上的化验,是否还有其它化验项目?
4. 猫咪最近是否有换粮,或者喂了以前没有吃过的食物?
5.猫咪注射疫苗之后,是否检测过抗体?
以上这些情况您仔细回忆后详细的描述给我,对我给宝贝目前情况做判断以及制定治疗方案有非常大的帮助,感谢您的配合。
猫咪之前一直没看出来异常,除了呕吐并没有其他症状,也从来没得过猫癣和耳螨,一直吃的**猫粮没有半年更换过,也检测了猫瘟和细小项目已排除。断水断粮了一直没排便。从第一次呕吐到现在已经三天了
陈奕达
执业兽医师
好的,感谢您的回复,谢谢。从现在的化验结果上来看,指示猫咪的疾病问题发生在肝脏位置(低血糖,低蛋白,丙氨酸氨基转移酶升高)。如果没有进行过肝脏影像方面的检查,我的建议是再给予猫咪进行一下肝脏的彩超检查,进一步判断一下肝脏的形态是否有异常,然后再给予进行针对性用药治疗,效果会更好一些。
如果暂时不方便进一步检查的情况下,除了给予对症的止吐用药以外,还需要给予猫咪进行静脉输液,补充能量以及营养,同时进行保护肝脏,以及广谱消炎用药。由于无法看到实体动物情况,所以输液用药的具体方案无法给予您建议(容易帮倒忙),但是上述的治疗原则是不变得。以后可以在猫咪没有出现频繁呕吐的情况下,再给予一些口服的保护肝脏用药,来帮助猫咪进行恢复。
那现在还用断水断粮吗,猫咪肝脏损伤平常喂养还有哪些需要注意的事项
陈奕达
执业兽医师
您好,1.猫咪现在处于急性呕吐期,需要暂时禁食禁水6-8小时,如果后续猫咪没有持续性呕吐,再尝试给予猫咪喂食。2.不用担心猫咪出现脱水以及低能量问题,因为输液会起到一定补充体内能量以及体液的效果。可以预防出现低能量以及脱水症状。3.肝脏的损伤问题,在家平时养护需要给予保护肝脏用药,同时不能让猫咪饿到,最后就是需要定期复查肝脏的生化指标。4.千万不要在家乱给猫咪用药,因为有的药物对肝脏是有较大负荷,甚至损伤的。
我观察最近两次呕吐间隔9小时39分钟。期间猫咪有自主进食欲望,可以少喂温水配益生菌吗?还有成猫肝脏处方粮。皮下注射止吐针有比西咪替丁更好的成份吗,可以推荐吗,这是县城只能自主购药然后宠医给打,帮帮忙吧救猫一命
陈奕达
执业兽医师
您好,1.这边给您再总结一些照顾宝贝一定需要注意的几点,
①需要改善宝贝生活环境,需要环境温度达到23-25度恒温(不能着凉,因为着凉可能会加重宝贝的病情)。
②需要改善饮食,需要吃宝贝专用猫粮,用温水泡发,搅拌成糊糊(好消化,易吸收,对消化道刺激性小),以少吃多餐为原则喂食。(可以添加一些益生菌,能起到调整消化道菌群,促进消化的效果)。
③由于宝贝现在体质比较虚弱,并且有低能量的症状,可以在喝水不吐的情况下,给宝贝口服一些温热的葡萄糖水,补充体液的同时,还可以补充能量。
⑤如果宝贝出现再次呕吐,建议先禁食禁水6-8小时,之后没有持续呕吐的情况下,再考虑吃喝以及口服药。
2.****主要功能是抑制胃酸分泌,治疗消化道溃疡,有一定止吐效果。更好一些效果可以考虑给予宠物专用奥美拉唑,个人认为比西咪替丁效果更好一些,可以按照每公斤1-2毫克,皮下或者肌肉注射,一天2-3次。
3.然后这边根据猫咪的情况,我给宝贝开个处方。
处方里面的
1. ***,保护肝脏用药,加速肝脏疾病的恢复。
2. ***,猫咪专用提供肝脏营养用药,加速肝脏的修复以及恢复。
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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