回复总结:猫咪导尿后出现尿血的情况,考虑是由于膀胱炎引发了膀胱粘膜损伤的问题。治疗方面,建议给猫咪进行输液治疗,同时配合使用宠物专用止血用药,皮下或者肌肉注射,一天2次。然后,建议给猫咪多喝水,促进猫咪排泄。如果暂时不方便去宠物医院就诊,建议先给猫咪口服宠物专用消炎药以及治疗泌尿道综合症的药物控制症状。
问题大致一样,细节不同?
陈奕达
执业兽医师
根据您的描述,猫咪导尿之后出现尿血,有可能是由于尿管刺激,或者有膀胱炎,憋尿时间过久,膀胱粘膜损伤导致。然后我还有几个问题需要向您核实一下:
1. 猫咪发病多久了?憋尿时间多久?;
2. 猫咪的尿管是否有留置?;
3. 猫咪是否做了泌尿系统检查?
4. 猫咪现在吃喝玩,尿尿状态如何?;
5.猫咪现在是否正在接受系统治疗?
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。另外,把您家爱宠具体的『年龄、体重』提供一下,待会儿咱们沟通后如果涉及用药建议,方便为宝贝开具处方。
应该是憋了两天,上周六导的尿,没留导尿管,做了检查,现在状态不太好但比憋尿时强,一直漏血尿,有时候去猫砂盆尿的特少,昨天和今天扎两天针了
陈奕达
执业兽医师
根据您的描述,猫咪这种情况是有膀胱炎,膀胱粘膜损伤的问题,引发了血尿症状。这种情况建议给予输液治疗,并且使用宠物专用止血用药(复合止血敏注射液,每公斤0.5-1毫升,皮下或者肌肉注射,一天2次),来进行止血治疗。然后必须保证尿路通畅,因为长时间憋尿,会导致膀胱粘膜损伤越来越严重。
我怎么才能知道它通不通畅啊?漏尿是不是说明它没闭尿?我给它在医院皮下注射了消炎药和营养液行吗?
陈奕达
执业兽医师
您好,1.可以给予猫咪进行膀胱超声或者x光片的检查,即可判断是否憋尿。2.猫咪现在漏尿,有可能是膀胱憋的不行了,装不尿液导致的。3.皮下输液,没有静脉输液见效快。建议考虑静脉输液治疗,更快,更好。
我周六导尿前做超声和x光片了用给你发吗?那它憋的不行怎么办啊我用再带它去医院导尿吗?我怎么判断它有没有尿闭啊?
陈奕达
执业兽医师
您好,1.可以把化验结果发送过来,我可以看一下,但是现在是否有憋尿,需要现在去做影像检查,之前的检查对于现在判断是否憋尿没有意义。2.可以再次导尿,解决憋尿的问题。然后建议考虑尿管留置2-3天的时间。3.如果确定猫咪有憋尿的情况,那么就是再次尿闭了。因为现在猫咪尿尿费劲,然后漏尿,再加上膀胱胀大憋尿,所有症状都指向了尿闭问题。
它导完尿那天就一直漏尿,它都导完了怎么还能憋不住呢。它现在扎完针不漏尿了是好事吗?它状态时好时坏有时候还能跟我蹭蹭,有时候就趴着眯着。我怎么让它多喝水啊?
为保护用户隐私不显示图片/视频
陈奕达
执业兽医师
您好,1.现在猫咪膀胱内是否憋尿情况没有明了,所以现在不尿尿是好是坏,暂时无法判断。因为正常来讲,猫咪尿闭需要进行尿管留置2-3天的时间,才能拆除。如果膀胱内憋尿,然后猫咪不尿尿,那么就是坏事了。2.多喝水这个比较简单,例如用温水泡猫粮,在猫咪罐头内加水等,或者人为灌喂温水。3.根据之前的化验结构,猫咪确实有膀胱炎以及尿液结晶引发的尿路不通畅(尿闭)的问题。
我看网上说可以摸膀胱判断,我摸了挺软的但它好像疼现在躲角落里了
陈奕达
执业兽医师
您好,膀胱的触诊只能初步判断,而无法达到确诊的地步。而且医生专业触诊跟我们自己在家的触诊还是有一定的差别的。
它现在又有点漏血尿了 可我问医院的医生说是正常情况过了三四天就好了,它要是尿闭了怎么还能流出来呢?漏尿是不是说明它没有尿闭呢?
陈奕达
执业兽医师
您好,尿闭以后,之所以漏尿,是由于膀胱装不下尿液了。漏尿症状无法说明猫咪是否处于尿闭状态。只能通过影像检查膀胱的状态才能进一步的判断。
陈奕达
执业兽医师
根据猫咪的情况,我给宝贝开个处方。
处方里面的
1. **,宠物专用广谱消炎,控制炎症。
2. ***,促进猫泌尿综合症(FC、尿结石、尿闭等)的康复,主要表现为尿淋漓,尿结石,尿结晶,尿浑浊,尿痛,血尿,尿闭等。
3.***,主治1.宠物尿路结石。2.膀胱炎。3.泌尿道炎症。4.泌尿道综合症等。
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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