咨询描述:布偶,母猫,一岁3个月,乳腺异常增生,到医院检查。SAA值15,SDMA值25,B超显示肾脏上有囊泡,最大的囊泡直径0.27cm。医院开药阿莫西林克拉维酸钾。请问这样的情况是否确诊慢性肾衰?后期猫咪护理应该有哪些注意事项?慢性肾衰是否有药物可以治疗或缓解?
回复总结:针对猫咪肾脏损伤的情况,用药治疗方面建议给猫咪吃宠物专用广谱消炎用药,抑制炎症感染。此外,还可以给猫咪口服宠物专用保护肾脏用药,来帮助猫咪。其次,猫咪这种情况后续需要适当增加饮水量,增加肾脏流量,避免脱水问题。饮食方面,建议给猫咪饲喂肾脏处方量调理。
问题大致一样,细节不同?
陈奕达
执业兽医师
您好,1.根据现在的化验结果,猫咪还没有达到肾衰的程度,现在可以判断猫咪是有肾脏损伤的问题。2.猫咪现在除了口服广谱消炎用药以外,还可以给予口服一些宠物专用保护肾脏用药,来帮助猫咪。3.猫咪这种情况后续需要适当增加饮水量,增加肾脏流量,避免脱水问题。4.猫咪这种肾脏问题,无法治愈,只能维持,减缓肾脏持续性的发展。
根据目前的化验结果看肾损伤问题算是严重吗?后期护理的话在饮食上有什么需要特别注意的呢?在选取猫粮上有什么建议呢,是否需要选择低蛋白的猫粮?综合各项指标看,SAA体现出来的炎性指标是代表猫咪有乳腺炎吗?还是表示有肾炎的问题呢?SDMA指标是否可以通过日常饮食调理降下来呢?
陈奕达
执业兽医师
您好,1.肾脏的问题,暂时不严重。2.饮食建议给予猫咪吃专用的处方粮,并且吃低盐分食物。3.如果猫咪有乳腺方面的问题,那么炎症应该就是这里出现的。4.肾脏问题,个人认为应该暂时不会引发炎症升高。5.sdma一般是不会受到食物调理而下降的。
保护肾脏的药物方面您有什么推荐吗?猫咪最近有脱毛比较多,被毛比较乱的情况,请问这个情况和肾衰有关联吗?接下来当猫咪出现哪些症状是需要引起重视呢?饮食方面低盐份就好,不需要低蛋白是吗?鸡胸肉还可以吃吗?复查的话应该重点观察哪些指标呢?
陈奕达
执业兽医师
您好,1.毛发问题有可能跟肾脏以及身体营养有关。2.鸡肉可以适当喂食。3.建议喂食处方粮最好。4.复查主要进行血液生化,以及sdma,血液常规,saa 的检查。5.如果猫咪出现少尿,无尿,精神状态下降,食欲下降,需要重视。6.然后这边根据猫咪的情况,我给宝贝开个处方。供您采纳参考一下。
处方里面的
1. ***,宠物专用保护肾脏用药。
2.肾脏处方粮,过渡性换粮之后,正常按照饮食量饲喂即可。
您可以根据需求自行选择购买。
好的,还想请问一下在血常规监测报告中显示白细胞较低,我印象中这一般反映猫瘟,请问猫咪白细胞偏低是考虑什么因素呢?从这些指标来看,猫咪是否有贫血/脱水之类的情况呢?现在猫咪在服用阿莫西林克拉维酸钾了,炎症的症状大概多久会好呢?大概过多长时间去复查会比较合适呢?
陈奕达
执业兽医师
您好,1.白细胞低,除了猫瘟病毒问题,还有可能是由于免疫力低下导致的问题。2.从现有化验指标来看,有一些轻微脱水问题,但是暂时没有贫血问题。3.炎症问题,需要用药一周之后复查,才能进一步判断。
免疫力低下的话,有什么方法可以增强免疫力吗?需要补充维生素C之类的吗?
陈奕达
执业兽医师
您好,可以给予猫咪口服一些提高免疫力方面的用药,来帮助猫咪。同时也可以补充一些宠物专用维生素。
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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