咨询描述:你好,我家狗狗急性胆囊炎
症状描述:身体发黄,尿液也是特黄,
患病时长:5-6天
用药情况:宠物医院输了五天液
回复总结:针对狗狗胆囊炎,治疗方面建议给狗狗做肝胆管系统的彩超检查,判断肝脏以及胆囊、胆管的形态变化,然后采取针对性治疗措施。针对肝炎和肝胆管疾病,建议最好带狗狗去宠物医院输液打针治疗,需要给狗狗对症使用消炎药以及保肝的药物。另外,还需要进行传染性肝炎、血液涂片等的化验,预防治疗过程中的并发症。
问题大致一样,细节不同?
陈奕达
执业兽医师
根据您上传的结果,狗狗的肝脏指标以及肝胆管指标都有升高。这种情况狗狗不一定只是单纯胆囊炎的问题,很有可能同时还有肝炎的问题。首先狗狗的肝脏,肝胆管的问题,大概的疗程在2-3周左右。其次,狗狗除了您上传的化验结果以外,是否还做了其它的化验?例如血液涂片,肝胆管系统彩超等?给予狗狗的治疗用药都有什么?
这是这两天的检查跟用药
为保护用户隐私不显示图片/视频
陈奕达
执业兽医师
从整体的治疗用药来看,主要就是针对肝炎,肝胆管疾病的方案。然后后续化验狗狗有血糖升高的情况,这个建议给予狗狗进行一下尿液常规检查,看看是否有糖尿病问题。其次就是狗狗的肝胆管系统彩超必须做,需要判断一下肝脏以及胆囊胆管的形态变化。同时积极的治疗还是需要继续,因为狗狗现在的疾病疗程只能算开始。
做了B超,胆囊没有破裂,胆囊有点肿大,其他的看了没什么大问题,现在医院没有给出确切的答复是什么原因造成的差不出来
陈奕达
执业兽医师
您好,狗狗现在的检查结果,只能诊断为胆管性肝炎的问题。但是进一步的确诊,还需要进行一些例如传染性肝炎,血液图片(血液寄生虫),等等的化验。因为现在的化验结果确实无法给予正面的确诊,能引发狗狗疾病的病因。但是正常来讲,狗狗的血糖一般不会有升高的情况,而且长期的不吃不喝,或者饮食不好,可能会引发低血糖的问题。所以我考虑狗狗是不是还有糖尿病的问题,以及胰腺方面的问题。
把贝斯虫也查了没问题
为保护用户隐私不显示图片/视频
陈奕达
执业兽医师
您好,如果排除血液寄生虫等一系列问题,那么狗狗这种肝胆管疾病问题,就是由于狗狗自体因素导致的疾病问题。然后可以在狗狗能进行口服用药的情况下,给予狗狗喂食一些保护肝脏方面的用药,这种多管齐下的治疗用药,对于狗狗肝脏的恢复效果更好。同时别忘了再给狗狗进行一下尿液常规检查,看看是否有糖尿病方面问题。
陈奕达
执业兽医师
您好,根据五月的情况,我给宝贝开个处方(配合输液,打针治疗)。
处方里面的
1. ***,主治1.胆汁淤积性肝病、胆管炎/胆管肝炎、中毒性肝炎、慢性肝炎、铜蓄积性肝病;
2.猫脂肪肝;
3.胆固醇结石、肝纤维化和肝硬化;
4.肝源性泪痕。
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
{"353310":{"id":353310,"case_id":40962,"user_id":1249218,"to_user_id":1886674,"type":3,"content":"您好,根据五月的情况,我给宝贝开个处方(配合输液,打针治疗)。\n处方里面的\n1. ***,主治1.胆汁淤积性肝病、胆管炎\/胆管肝炎、中毒性肝炎、慢性肝炎、铜蓄积性肝病;\n2.猫脂肪肝;\n3.胆固醇结石、肝纤维化和肝硬化;\n4.肝源性泪痕。","media":{"images":{},"videos":{},"business_params":{"prescription_id":104024}},"is_doctor":1,"status":1,"created_at":"2022-02-21 17:21:58","show_rx":true,"rx_info":{"id":104024,"rx_no":2.0220221172009502e+24,"user_id":1886674,"doctor_user_id":1249218,"is_independent":0,"case_id":2633379,"pet_info":{"pet_id":275353,"pet_name":"柯基","pet_nickname":"五月","pet_gender":2,"pet_birth":"0-6","pet_weight":6,"pet_vaccination_status":1,"pet_in_insect_repellent_status":1,"pet_out_insect_repellent_status":0,"pet_age_format":"6个月"},"diagnose":"初步分析是有胆管型肝炎的问题,引发了一系列症状。","signature":"\/signature\/2021\/12\/c9bc3ee36e7e61a8a6b1d241ce0cd612.png","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2022-02-21 17:20:09","updated_at":"2022-02-21 17:21:58","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":8959,"prescription_id":104024,"doctor_user_id":1249218,"product_id":900,"product_sku_id":941,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天1次","days":30,"number":1,"remark":"","created_at":"2022-02-21 17:20:47","updated_at":"2022-02-21 17:20:47","product_info":{"id":900,"hash_id":"V9we7N4JwwgPbGWA","class_ids":{"0":1,"1":2},"category_ids":{"3":164},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":205,"sell_point":"欧苷宝宠物营养补充剂 0.5g×30片\/盒","title":"欧苷宝宠物营养补充剂 0.5g×30片\/盒","recommend_reason":{"0":"胆汁淤积性肝病、胆管炎\/胆管肝炎、中毒性肝炎、慢性肝炎、铜蓄积性肝病;","1":"猫脂肪肝:","2":"胆固醇结石、肝纤维化和肝硬化:","3":"肝源性泪痕。"},"baike_guide_text":"","baike_article_hash_id":"","advword":"肝脏硬化,肝脏,肝脏疾病,肝脏用药,肝脏养护","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"30片盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2023\/07\/0f89ce91155533938bbdd99f0121dc2b.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":188,"max_price":188,"sale_count":112,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2022-01-12 17:42:42","updated_at":"2024-11-15 09:35:48","ins":{"id":205,"hash_id":"650KvV4QnGgWXBEd","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"欧博方欧苷宝宠物营养补充剂","common_name":"宠物营养补充剂","trade_name":"欧苷宝","en_name":"Prohepar","brand_name":"欧博方","is_prescription":0,"cover":"\/drug\/2023\/07\/a700f957932832f1d1cf4a1ace328ecd.jpg","specification":"0.5g×30片\/盒","reference_price":210,"component":"蒲公英,添加剂组成:胆汁酸、牛磺酸、葡萄糖酸锌、维生素B1、维生素B2、维生素B6、维生素B12、叶酸、生物素","indication":"胆汁酸促进胆汁分泌和流动,缓解胆汁淤积,溶解胆结石;\n牛磺酸补充因胆汁酸分泌增加可能造成的缺乏,抑制脂肪肝形成;\n蒲公英抗氧化和抗炎,避免肝脏氧化损伤,缓解肝胆炎症;\n维生素B保护肝脏细胞膜,促进肝脏细胞修复和再生,增强肝脏功能;\n锌抑制铜吸收,改善高血氨和肝性脑病症状。\n适用于以下情况\n1.胆汁淤积性肝病、胆管炎\/胆管肝炎、中毒性肝炎、慢性肝炎、铜蓄积性肝病;\n2.猫脂肪肝;\n3.胆固醇结石、肝纤维化和肝硬化;\n4.肝源性泪痕。","usage_dosage":"根据体重,10kg及以下,1片\/日;10kg-30kg,2片\/日;30kg及以上,3片\/日。\n根据疾病情况,可在临床医生指导下,适当增加剂量。","contraindication":"","adverse_reaction":"","attention":"","interaction":"","approval_no":"","storage_method":"密封,在凉暗干燥处保存。","validity":"2年","manufacturer":"青岛欧博方医药科技有限公司","status":1,"created_at":"2022-01-12 17:40:00","updated_at":"2023-07-24 14:56:04"}},"product_sku_info":{"id":941,"product_id":900,"title":"欧苷宝宠物营养补充剂 0.5g×30片\/盒","advword":null,"price":188,"market_price":220,"cost_price":0,"stock":40,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"30片盒装"}},"cover":null,"thumb":"","sale_count":115,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2022-01-12 17:42:42","updated_at":"2024-11-15 07:35:28"}}},"drug_data_bak":{"0":{"id":8959,"prescription_id":104024,"doctor_user_id":1249218,"product_id":900,"product_sku_id":941,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天1次","days":30,"number":1,"remark":"","created_at":"2022-02-21 17:20:47","updated_at":"2022-02-21 17:20:47","product_info":{"id":900,"hash_id":"V9we7N4JwwgPbGWA","class_ids":{"0":1,"1":2},"category_ids":{"3":164},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":205,"sell_point":"欧苷宝宠物营养补充剂 0.5g×30片\/盒","title":"欧苷宝宠物营养补充剂 0.5g×30片\/盒","recommend_reason":{"0":"胆汁淤积性肝病、胆管炎\/胆管肝炎、中毒性肝炎、慢性肝炎、铜蓄积性肝病;","1":"猫脂肪肝:","2":"胆固醇结石、肝纤维化和肝硬化:","3":"肝源性泪痕。"},"baike_guide_text":"","baike_article_hash_id":"","advword":"肝脏硬化,肝脏,肝脏疾病,肝脏用药,肝脏养护","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"30片盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2023\/07\/0f89ce91155533938bbdd99f0121dc2b.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":188,"max_price":188,"sale_count":112,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2022-01-12 17:42:42","updated_at":"2024-11-15 09:35:48","ins":{"id":205,"hash_id":"650KvV4QnGgWXBEd","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"欧博方欧苷宝宠物营养补充剂","common_name":"宠物营养补充剂","trade_name":"欧苷宝","en_name":"Prohepar","brand_name":"欧博方","is_prescription":0,"cover":"\/drug\/2023\/07\/a700f957932832f1d1cf4a1ace328ecd.jpg","specification":"0.5g×30片\/盒","reference_price":210,"component":"蒲公英,添加剂组成:胆汁酸、牛磺酸、葡萄糖酸锌、维生素B1、维生素B2、维生素B6、维生素B12、叶酸、生物素","indication":"胆汁酸促进胆汁分泌和流动,缓解胆汁淤积,溶解胆结石;\n牛磺酸补充因胆汁酸分泌增加可能造成的缺乏,抑制脂肪肝形成;\n蒲公英抗氧化和抗炎,避免肝脏氧化损伤,缓解肝胆炎症;\n维生素B保护肝脏细胞膜,促进肝脏细胞修复和再生,增强肝脏功能;\n锌抑制铜吸收,改善高血氨和肝性脑病症状。\n适用于以下情况\n1.胆汁淤积性肝病、胆管炎\/胆管肝炎、中毒性肝炎、慢性肝炎、铜蓄积性肝病;\n2.猫脂肪肝;\n3.胆固醇结石、肝纤维化和肝硬化;\n4.肝源性泪痕。","usage_dosage":"根据体重,10kg及以下,1片\/日;10kg-30kg,2片\/日;30kg及以上,3片\/日。\n根据疾病情况,可在临床医生指导下,适当增加剂量。","contraindication":"","adverse_reaction":"","attention":"","interaction":"","approval_no":"","storage_method":"密封,在凉暗干燥处保存。","validity":"2年","manufacturer":"青岛欧博方医药科技有限公司","status":1,"created_at":"2022-01-12 17:40:00","updated_at":"2023-07-24 14:56:04"}},"product_sku_info":{"id":941,"product_id":900,"title":"欧苷宝宠物营养补充剂 0.5g×30片\/盒","advword":null,"price":188,"market_price":220,"cost_price":0,"stock":40,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"30片盒装"}},"cover":null,"thumb":"","sale_count":115,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2022-01-12 17:42:42","updated_at":"2024-11-15 07:35:28"}}}}}}
微信扫一扫
立即问宠医