猫咪慢性肾衰竭怎么治好

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患宠信息:田园猫/弟弟/19岁5个月

咨询描述:您好~公猫19岁 体重4斤多 慢性肾衰 目前肌酐800多 尿素氮 磷 均高于正常值 现在一周医院补两次液(复合维生 氯化钠) 服用胺肾一年多 没怎么有呕吐 也能进食一些***罐头 请问还有更好的治疗方法能维持病情吗?以现在的情况 每天需要摄入多少毫升水? 可以服用人用***和***吗?用量是多少?谢谢~

回复总结:针对猫咪慢性肾衰竭的情况,治疗方面建议给猫咪输液打针治疗。如果猫咪在家处理的话,建议每天最少摄入200ml的水。护肾的药物可以给猫咪用点,然后给猫咪平时吃一些补血肝精。如果猫咪已经是末期尿毒症的阶段,长期的尿毒症反而让猫咪现在这种状态是一个平衡的一个阶段。所以最好还是大剂量的输液用药。

问题大致一样,细节不同?

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赵一强

执业兽医师

主人你好,按照您的描述,如果宝贝在家处理的话,建议每天最少摄入200ml的水。 护肾的药物可以给宝贝用点***。***也可以,人用的也可以,您自己换算下的剂量。 罗沙司他这个药我个人没用过。关于剂量和效果没有给您更好的经验,只能您自己尝试用药,看看自己根据他的说明书换算下剂量。然后查查资料,看看能不能用。 然后给宝贝平时吃一些补血肝精。在家保守治疗的话,基本上也就是只能是做这些了。 按照您的描述,宝贝已经是末期尿毒症的阶段了。之所以现在状态还不错,就是他的身体长期处于这种阶段,已经适应了这种体况,因为它比较瘦弱的身体本身目前产出的毒素就少一些,长期的尿毒症反而让他现在这种状态是一个平衡的一个阶段。所以如果真的要是按照鸟都这大剂量的输液用药,也许反而会打断他的体内的平衡。毕竟宝贝已经19岁了。后面能保持当下的这种状态,还能吃点儿饭,能坚持多久就算多久吧。

想在医院治疗 但是只给开了每周两次补液 是不是应该换家宠物医院看看? *** *** *** 那些药 能一顿放在一起吃吗 还是需要间隔些时间 西药跟中药能一起吃吗?谢谢~

赵一强

执业兽医师

主人你好,这些药可以放在一起吃的。集中***是可以随饭喂的。 您说的中药也是可以一起吃的。可以中西医结合治疗肾衰。 可以更换一家更专业的宠物医院。治疗处理看看。但是就像我上面说的,宝贝现在可能还是一个平衡的状态。输的多了,反而更容易出现电解质紊乱的问题。只能是尽力的尝试治疗,看看效果了。 这边给您把口服的***,补血药开出来,您可以先参考看一下。

那请问~在吃这些药的同时 每周两次的补液 是对它有好处 还是就是心理安慰 就补复合维生和氯化钠够吗? 需要换成乳酸钠林格吗?

赵一强

执业兽医师

主人您好,暂时不用补充乳酸钠林格,虽然是最适合肾衰的平衡液。但是宝贝目前的体况说实话输这个也不见得会有很大的效果。因为宝贝毕竟是个19岁的高龄。正常来讲,输液肯定是对它有效果的,只要宝贝能正常的排尿,通过输液就能把身体多余的毒素排出去。但是这样的话就会增加他肾脏的负担。在宝贝这种末期的尿毒症的阶段。大剂量输液未必对他的这个肾脏的效果会特别好。

***500mg一片 猫体重4斤多 无机磷4.18 请问一天吃半片 还是四分之一片合适 ***一天一粒合适吗?谢谢~

赵一强

执业兽医师

您好,上面我给您开的摩登狗的***是一天3次,一次3分之一粒。 ***一天两次,一次半粒。随饭喂。

医生建议及处方根据当前病情给出,仅适用于本次问诊

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猫咪慢性肾衰竭怎么治疗

宗振平

执业兽医师

您好,因为病情分析需要时间您稍微等候一下,我尽快给您解答。

猫咪慢性肾衰竭怎么治

赵一强

执业兽医师

针对猫咪慢性肾衰竭的症状,治疗方面建议给猫咪口服护肾药物,同时配合服用降低磷离子的碳酸镧。另外,还需要给猫咪适当补充一些维生素。如果猫咪已经有明显的尿毒症和低血钾症,建议及时将猫咪带去宠物医院进行输液治疗,需要给猫咪补充氯化钠和氯化钾。如果猫咪在治疗过程中有呕吐的症状,建议对症给予止吐针进行治疗。

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猫咪如果是慢性肾衰,需要给猫咪的肾衰定级,肾衰分为4级,如果只是1级和2级肾衰,吃药控制就会有较好的生活质量;如果是3级和4级肾衰,肾功能已经损坏大半,因为肾单位的损失是不可逆的,所以一旦出现较严重的肾功能障碍则需要进行透析治疗,肾功严重障碍者则考虑换肾治疗,但国内的小动物器官移植手术屈指可数。

汪志翔

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猫咪慢性肾衰竭怎么治疗

一、皮下补水用乳酸林格与维生素b12,若脱水严重先静脉补水,要维持良好的水合状态。二、用磷离子结合剂,降低磷的含量,保持血磷在5mg/dl以下。三、吃低蛋白低磷的食物,最好用肾脏处方粮。四、如果猫咪呕吐,最好使用抑制中枢神经的马罗匹坦。五、若猫咪贫血可用一些促红细胞生成素。

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猫咪肾衰竭能治好吗

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赵一强

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慢性肾衰需要输电解质平衡液治疗,并且增加蛋白质的摄入。慢性肾衰的猫咪会有多尿,会造成猫咪脱水以及钾、钠和碳酸氢根离子的丢失,另外需要根据血液基础值的情况来决定是否需要使用磷的螯合剂,以及促红细胞生成素。

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当猫咪慢性肾衰竭时会表现出被毛乱、食欲减退、精神沉郁、呕吐、多饮、多尿、体重减轻、口臭、脱水、黏膜苍白、口腔溃疡等症状。一般可通过生化检查中SDMA、肌酐、尿素氮数值、尿比重、有活性的尿沉渣存在等综合诊断进行确诊,建议及时送医检查治疗。

赵一强

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猫猫如果患有慢性肾衰,需要鉴定猫咪的肾衰级别,一般肾衰分为四个等级。一级肾衰只是肾功能有一定的下降,调理一段时间就会恢复;二级肾衰则需要药物控制,并且长期服药控制体内代谢平衡;三级和四级肾衰则需要进行大量的输液和腹膜透析来控制体内代谢平衡。如果肾衰不是很严重是可以有较好的生活质量的。

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猫咪慢性肾衰竭怎么分几期

猫咪慢性肾衰竭分为四期。主要是根据猫咪肾衰的发展过程和症状表现程度来划分。一期没有明显的临床症状,血液检查血清肌酐和血液尿素氮轻度升高,二期可能会出现多尿、轻度贫血、脱水以及心力衰竭等症状,三期可能出现少尿、中度和重度贫血,肌酐、尿素氮上升至130%以上等,四期为尿毒症期,出现多种临床症状,以神经症状和骨骼变形最为明显。

王倩

执业兽医师

猫咪慢性肾衰竭的症状

猫咪患有慢性肾衰竭的主要表现为喝水频繁、排尿频繁、精神萎靡、呕吐、厌食等,到后期会出现少尿或闭尿、体重减轻、抽搐甚至死亡。治疗慢性肾衰竭,应当采取综合治疗措施,静脉输液增强肾功能、激活肾细胞、消炎。建议每年带猫咪做一次体检,及时发现病变,有利于及时治疗。

宗振平

执业兽医师

猫咪慢性肾衰竭的治疗

饲喂猫咪肾脏处方粮,控制猫咪的高血压,预防及校正低血钾及高血磷,增加动物的饮水量。用皮下补液的方式避免猫咪的脱水,并给予止吐药,红细胞生成激素及骨化三醇来避免肾因性的副甲状腺亢进。限制猫食物蛋白,减少蛋白质代谢继发的尿毒症。

袁佳佳

执业兽医师

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