咨询描述:医生你好!猫咪抖抖今年六岁,今年三月份诊断为三体炎,住院三天后回家一直吃药至今,中途病情稳定后,减了药量。这两天又不吃猫粮,精神状态还好。今天检查结果出来了。想问问猫咪现在是什么情况
回复总结:针对猫咪胆囊炎,用药治疗方面,建议给猫咪吃宠物专用广谱消炎药,一天两次,连用7天,控制炎症感染,同时配合服用保肝利胆的药物,一天一次,连用7天。此外,还需要适当给猫咪服用宠物专用营养补充剂,一天两次,连用14天。然后,猫咪在治疗期间最好饲喂处方粮,利于恢复。如果猫咪有不吃东西的症状,建议带猫咪住院输液消炎治疗,也可以给猫咪灌喂低脂易消化的流质食物。
问题大致一样,细节不同?
郭秋萍
执业兽医师
你家猫咪上次三体炎主要有哪些临床症状?然后回家一直是吃的什么药物?平时饮食是怎么样的?吃的什么?一天几次?
今天去医院所有的化验结果,都可以上传过来我看一下吗?
郭秋萍
执业兽医师
我这边就收到你的一张血常规的化验单。血常规的话,白细胞是在正常值的下限,所以他抵抗力还是有点差,也不排除有可能有病毒感染的倾向。另外,淋巴细胞高,这个代表他是应激或者是传染病的潜伏期,这个指标会高。血红蛋白低,说明有贫血。
还有其他的化验单吗?可以添加咱们客服微信上传过来我看看。
为保护用户隐私不显示图片/视频
有消炎药,胆囊炎的药,上次只是胆囊炎,没有胰腺炎,拍片看到一堆器官不清晰
为保护用户隐私不显示图片/视频
郭秋萍
执业兽医师
生化检查总胆汁酸高,这个一般胆囊炎,胆管炎会造成这个指标升高。b超检查就比较严重了,有肝结节,至于是肿瘤还是其它结构,需要做活检病理送检才能确诊。胆囊和胰腺均有炎症。不过这一次的胰脂肪酶检测是阴性的,说明它的胰腺炎可能是慢性的,所以胰脂肪酶检测不出来。
总体来看,目前猫咪:一是抵抗力比较差,轻微贫血;二是,它现在是有肝脏不明结节。三是,有胆囊炎和胰腺炎。
它目前不吃东西的话,你有两种处理方案,一种就是住院输液消炎治疗。一种就是回家给它灌喂低脂易消化的流质食物,继续口服消炎药和胆囊炎的药物,口服止疼药。
现已住院治疗,我就想问问回家后的饮食吃什么猫粮,回家后服药要吃多久,以后还会不会反反复复发作,另猫咪是不是三体炎
郭秋萍
执业兽医师
你家猫咪这种情况以后回家之后最好是给他吃低脂易消化的处方粮,可以考虑一下****处方粮。
回家后需要每周复查,生化指标正常,并且没有临床症状后,可以考虑停药。
猫咪的胆囊炎和胰腺炎确实是很容易反反覆覆发作的,而且他们都是容易形成慢性病的。
从你告知的这些信息来看,他现在只是有胆管炎和胰腺炎,但是有没有肠炎这个报告里面看不出来,你家猫咪有没有拉稀的情况?有没有肠管水肿的情况呢?如果是有的话,那就说明他同时也有肠炎,那就确定是三体都发炎。
另外,因为胆管、胰腺都是开口在十二指肠的,所以这三个器官里面,无论哪个发炎都会影响到另外两个,所以通常当他们其中一个或者两个或者三个出现炎症,我们都可以称之为三体炎。你家猫咪现在也可以称之为三体炎,只不过不知道暂时肠管发炎没有。
麻烦你给开一下消炎药和胆囊炎的药。出院后喂你开的药
郭秋萍
执业兽医师
根据抖抖的情况,我给它开个处方。处方里面的1. **,抗菌消炎,12.5毫克每千克体重,一天两次,连用7天。
2.***,保肝利胆,自行购买,一天1.5克,连用7天。
3. ***,营养补充剂,利于胰腺炎、肠炎恢复,一天两次,一次1毫升,连用14天。
4,***处方粮,自行购买。
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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