咨询描述:我家是公猫,做过绝育,闭尿四次了!第一次入院治疗的,导尿,输液,回来后吃了半个月的药恢复了!一直吃皇家猫粮和猫尿通!
回复总结:针对公猫尿闭的症状,治疗方面建议要尽快进行导尿处理,如果没有导尿管,需要尽快找到注射器做膀胱穿刺,然后每天都需要冲洗尿道。用药方面,建议主要使用抗生素和修复膀胱的药物,同时配合止痛药。如果猫咪症状严重,需要进行输液治疗,给予糖皮质激素类药物和葡萄糖等,配合着氯化钠注射液即可。如果有肾脏损伤,还需使用护肾的药物。
问题大致一样,细节不同?
徐灿
执业兽医师
需要问一下,当时有没有找到尿路闭塞的原因?能不能拍摄一段视频?发过来看一下,请详细的描述一下,另外,精神状态是什么好?膀胱现在还充盈吗?一般来说,常见的能够造成尿路闭塞的原因就是尿路感染,膀胱炎,自发性膀胱炎以及结石等问题,但是我需要了解一下具体的情况,能不能拍摄一段视频?发过来看一下。
前两次发病都吃口服药治疗的,两天就好了,这次是48小时没有排尿了!24小时排便一次,喂水药后一天呕吐4次!看来用药治疗没有效果,都吐出来了!小丁丁出肿胀,有结晶!怎么办,得去医院检查吗?费用太高了,上次住院导尿花了大五千多!
它是结石,精神状态不好,去猫砂盆里吐了两次,膀胱充盈!
徐灿
执业兽医师
这种情况肯定需要导尿以及输液处理,否则的话,后续就会死于尿闭。能不能拍摄一段视频?发过来看一下。要尽快的进行导尿处理,如果实在没有导尿管的话,需要尽快的找到注射器做膀胱穿刺。而且需要导尿管滞留。后续的话,每天都需要冲洗尿道,否则的话,就会影响到他的排尿情况。
去宠物医院直接做导尿,然后导尿管能滞留吗,尿道冲洗输液能回来自己做吗?
徐灿
执业兽医师
一般也是可以的,但是需要做一个静脉滞留针,后续的话主要是抗菌消炎,以及每天对于尿路的冲洗,但是前提是没有特别大块儿的结石。不过有条件的话,最好是在医院里进行。
到医院得做B超检查和血液化验吗?能不能直接导尿再做静脉留置针,
徐灿
执业兽医师
必须做的只有滞留针,还有导尿处理。生化检查有条件的可以做,B超检查如果之前做过,那么绝大部分相差不多。后续的话主要是使用抗生素和一些修复类的药剂,并且止疼,然后定期的每天冲洗膀胱。
我们准备去宠物医院了,要两个小时的车程,导尿是要麻醉吧!在医院导尿后不能留导尿管吗?抗生素和止疼药您能给开个方吗?留置针回家来输液!上次在医院住了五天,猫猫太可怜了!想回家来输液我家有护士!感谢您耐心解答!
徐灿
执业兽医师
这个实际上得看具体情况,如果说公猫特别虚弱,就不要麻醉了,因为容易在麻醉的过程中发生危险。实际上,你回来输液,自己照顾也可以,一般来说,懂护理的人员都能够完成这些操作,输液速度一般控制在每小时30到25毫升就可以。然后静脉补充一些抗生素,有护士的话,我就不帮你开抗生素了,后续输液治疗更有效。
那么总体的说一下,输液方面,给予糖皮质激素类药物,以及一些抗生素,还有所需的葡萄糖等,配合着氯化钠注射液即可。
我帮你开了三个药物,首先是这种情况肯定会非常疼痛,所以止疼药物可以有效的缓解情绪,以及他的精神状态,能够让他在缓解疼痛之后,有一定食欲。其次是修复膀胱的药剂,这个需要长时间使用。当然,还有非常重要的一点就是,他这么长时间的憋尿,肯定会有肾脏损伤,后续也要使用护肾的药物。这三种药物只是口服的,至于其他的药物,按照常规治疗方案即可,如果不太知道的话,你也可以询问我。
导尿管留置的话会给留置吗?如果回来再不排尿的话,还得需要导尿吗?止疼药有哪些?
徐灿
执业兽医师
导尿管你和医生说一下滞留就可以,对于这种特别容易反复的必须滞留,方便后续的冲洗膀胱,也能保证泌尿系统通畅,因为总是抽插的话,容易把整个尿道摩擦导致狭窄,后续容易造成严重的尿道损伤。止疼药我在上面,我已经帮你开了,按照指导剂量使用就可以,每公斤一毫克,一天一次。
刚才猫尿了,有血色,还有两块大米粒状的结晶!昨天给它打了一个小针,****
徐灿
执业兽医师
想问一下,已经做尿道插管了吗?另外,有没有进行膀胱冲洗?这种情况可能要做膀胱冲洗的,而且要反复冲洗,保证结石结晶的冲洗干净。而且****并非首选药物,需要使用补液的方式减轻肾脏压力,后续需要使用上述三种药物,缓解肾脏压力止疼并且修复膀胱。
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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