猫咪尿闭怎么治疗

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患宠信息:美短串/弟弟/2岁

咨询描述:公猫2岁大,未绝育,前天下午开始尿不出尿,频繁出入猫砂盆,晚上呕吐了一次,第二天没有好转,下午去医院做了导尿,发现有小沙子粒大小的结晶堵住了尿道口,导尿发现尿液呈红色,拍片子没有结石,后打了消炎止痛的针,后输了皮下,回来后猫咪能尿了,但是每次尿量很小,不吃饭,喝水还可以,今天又去打了两针,输了皮下,尿液不太红了,但是猫咪不太有精神,一直趴着睡觉,不爱动,请问他这个大概多久能恢复呢,如果我自行打针,请问打什么药合适呢?什么比例呢?

回复总结:针对猫咪尿闭的情况,建议给猫咪进行导尿处理。然后,建议进行打针治疗,需要使用含有头孢噻呋成分的注射液以及含有美洛昔康成分的注射液。另外,建议再给猫咪配合口服治疗泌尿道系统的用药,帮助猫咪恢复。如果条件允许,建议给猫咪进行肾脏检查,如果肾脏有问题,还需要增加使用保护肾脏的药物进行治疗。

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陈奕达

执业兽医师

根据您讲到的信息,暂时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. 猫咪是否检查了肾脏功能?是否有肾衰问题?; 2. 猫咪是否有做尿管留置?; 3. 猫咪现在尿尿是否通畅?; 4. 猫咪除了打针,是否给予口服用药? 5.您可以上传一下猫咪所有化验结果,我可以进一步了解一下,然后帮您分析。

没有检查肾脏功能,没有做尿管留置,可以自行尿尿,但是每次尿的很少频次高,没有给予口服药物,只拍了片子,导了尿,没有做血常规生化检验,当时说是看一下第二天情况,因为第二天尿里血液明显减少只是稍稍偏红,而且也可以自行尿出,所以现在是保守治疗,只是打针和输液

陈奕达

执业兽医师

根据您描述的症状以及提供的信息,如果没有给予猫咪进行肾脏检查,那么肾脏是否有问题,这个是未知数,建议给予猫咪检查一下,这样更为安全稳妥一些。因为如果肾脏有问题,需要对肾脏进行治疗。 然后猫咪尿闭,打针可以使用1.宠物专用头孢噻呋注射液,每公斤10毫克,一天两次,皮下或者肌肉注射(广谱消炎)。2.宠物专用注射用美洛昔康,每公斤0.1-0.2毫升,一天一次,皮下或者肌肉注射(抗炎止疼)。3.然后建议再给猫咪配合一些口服治疗泌尿道系统的用药,帮助猫咪进行恢复。根据猫咪的情况,我给宝贝开个处方。 处方里面的 1. ***,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。 2..***,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。

好的,谢谢大夫,猫咪现在不是没有尿,而是有尿不敢尿,疼或者其他原因尿不出来,他都憋在了膀胱里,每次去导尿都能导出来很多尿,请问这是不是说明肾的损伤不是很大呢?肾衰的话是不是会导致猫咪不产生尿或者产生的尿很少呢?麻烦医生了

陈奕达

执业兽医师

您好,1.长期憋尿,会导致猫咪膀胱粘膜损伤,引发膀胱炎,然后最严重的就是引发急性肾衰的问题。2.肾脏损伤,需要化验来判断。肉眼是无法判断肾脏是否有损伤的。3.严重肾脏衰竭,就会导致猫咪出现无尿或者少尿。初期的肾衰,或者不严重的肾衰,暂时不会影响猫咪产生尿液。

谢谢大夫,请问肾衰的话,需要给猫怎么治疗呢,口服哪些药物?还是打针输液呢?肾衰可以治好吗?

陈奕达

执业兽医师

您好,1.肾衰并不是简单的小问题,输液需要根据猫咪肾衰程度以及猫咪当时的状态来判断,所以暂时没有办法给您提供方案。2.肾衰是否可以治疗好,能治到什么程度,需要通过化验数据判断。3.给您提供一款猫咪的肾脏用药,然后我给宝贝开个处方。 处方里面的 1. **,宠物专用保护肾脏用药。 每5公斤体重用1克(约1勺),每天2次,可单独给药,也可与食物混在一起饲喂,与干食物混饲时,可以放少许水将食物弄湿后与本品混合,本品可以长期饲喂,

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针对猫咪尿闭的情况,治疗方面建议及时带猫咪去宠物医院进行导尿。如果猫咪在宠物医院治疗了一周左右,尿闭的问题还是没有得到恢复,建议给猫咪进行尿道改造手术。因为公猫尿闭的最根本原因,就是公猫的尿路比较狭窄。尿道改造手术的目的,就是让尿路变宽,从而改善尿闭的问题。如果暂时不方便去宠物医院就诊,建议先给猫咪服用消炎药和利尿的药控制症状。

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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。

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针对公猫尿闭的情况,治疗方面建议给猫咪进行尿管留置,保持尿路通畅,帮助猫咪导尿。如果猫咪能吃能喝,并且没有急性肾衰的症状,建议给猫咪口服宠物专用广谱消炎药,同时配合服用治疗下泌尿道综合症的用药进行治疗。如果猫咪久治不愈或者尿闭反复发作,需要给猫咪进行尿路改造手术,彻底治疗尿闭的问题。

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