猫咪膀胱结石可以不手术吗

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患宠信息:其它/弟弟/1岁

咨询描述:猫咪膀胱泥沙状结石不手术可以治疗吗?

回复总结:针对猫咪膀胱结石的情况,如果不多的情况下,可以吃泌尿道处方粮,多喝水调节一个月或者两个月后复查超声,期间随时观察排尿情况。公猫膀胱内有结晶容易堵塞尿道从而尿闭,会有生命危险。如果猫咪尿不出来,有可能是结晶太多之后堵塞了尿道,引起尿闭,需要进行导尿,这种情况下可以留置两到三天的导尿管,大量输液冲洗膀胱,让多排尿,等能够正常排尿之后吃泌尿道处方粮,泌尿道方面的药,一定保证猫咪,要多喝水。

问题大致一样,细节不同?

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闻晓敏

执业兽医师

您好,如果不多的情况下,可以吃泌尿道处方粮,多喝水调节一个月或者两个月后复查超声。期间随时观察排尿情况。公猫膀胱内有结晶容易堵塞尿道从而尿闭,会有生命危险

昨天去医院他们说泥沙状结石较多需要手术,但是我不希望手术,所以想请问您一下可不可以通过其他方式治疗?

昨天已经对猫进行了通尿和膀胱清洗,但是泥沙状结石并没有完全清除,我想请问一下可不可以多进行几次清洗来将其清除?

闻晓敏

执业兽医师

昨天的检查报告单全部发给我看看呢, 是什么原因去医院的,排尿问题?常规体检? 可以做尿常规检查看看尿结晶情况,有些结晶/结石是可以通过饮食,药物调整化石的,比如鸟粪石,有些不行比如草酸钙比较难。 所以如果做了尿常规检查,确定了有哪些结晶,更容易指导后续操作。 多进行几次对猫咪来说并不友好,很多猫咪可能因此应激造成更大麻烦

昨天是因为猫排不出尿去的医院,然后今天又排不出来了,就算排出来也只有几滴,这是检查单

为保护用户隐私不显示图片/视频

闻晓敏

执业兽医师

那很有可能是结晶太多之后堵塞了尿道,引起尿闭,需要对他进行导尿,这种情况下可以留置两到三天的导尿管,大量输液冲洗膀胱,让多排尿,等能够正常排尿之后吃泌尿道处方粮,泌尿道方面的药,一定一定一定保证猫咪,要多喝水。按照每天40到45毫升每公斤体重的量,喝得不够就喂水,或者吃泌尿道处方罐头,用水/羊奶粉泡猫粮,增加被动饮水量

就是说可以不用手术了是吗?

闻晓敏

执业兽医师

这种情况我们一般会先采取保守治疗。 确定有很多结晶,那很大概率就是因为结晶堵塞了尿道形成尿闭。按照我刚才说的那种方式在医院输液治疗几天,基本上会有好转,后面就吃泌尿道的处方粮,药,保证多喝水。当然,如果结晶确实太多的话,后面可能再次出现这种情况,因此我们一定要用药物和粮,以及多饮水来综合调整。

闻晓敏

执业兽医师

我可以给您开处方,您需要用到的部分药品是处方药,请先提供宝贝的体重、年龄信息,可免费获得处方建议。如果您家中已经有部分药品请告诉我,以免我重复开单。处方开出后,您可以通过处方自主选择购买药品。

闻晓敏

执业兽医师

处方已开,主要是促进膀胱修复,促进饮水,溶石的,您可以通过处方自主选择购买药品,咱们从仓库发货,快递直达

闻晓敏

执业兽医师

他目前这种情况得到改善之后,先吃一到两个月的泌尿道到处方粮,然后去复查超声看膀胱内结晶是否有改善,有改善的话,可以继续吃,三到四个月然后再复查。没有改善的话,看看是否有更多的结晶或者结石,再采取不同的方案。

闻晓敏

执业兽医师

请用药2周后复诊,根据宝贝恢复情况来调整治疗方案,有问题可随时在线联系。

请问那它现在尿不出来怎么办?我要现在带它去插导尿管吗?要插多久呀?

闻晓敏

执业兽医师

尿不出来肯定要去医院的,您自己在家基本没办法处理,而且尿闭是有生命危险的。 现在尿不出来,建议去医院导尿,导尿管一般留置2-3天,不超过三天,插着导尿管期间大量输液促进排尿,取了导尿管之后一般继续输液1-2天,观察取了之后排尿情况,能正常排尿了就按照上面提到的方法护理

谢谢医生,如果插着导尿管回家的话它可以自主排尿吗?如果今天不输液只插导尿管可以吗?因为医院今天休息明天上班可能没法输液什么的,可不可以今天先插着导尿管供它排尿然后明天去医院呀?插了导尿管是不是就可以排尿了呀?谢谢医生的解答

闻晓敏

执业兽医师

插着导尿管可以排尿,但是尽量能输液就输液。实在不行,看您所在地区医院是否让您带猫咪回家,如果医院愿意,那么可以今天插导尿管明天输液。不输液一定让猫多喝水,吃湿粮,不喝水就喂水

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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您好家长,感谢您对我的信任!问题我已经看到,正在进行分析,由于只能打字回复,回复可能会慢一些,本人是在职医生,有的时候回复不及时请见谅,忙完之后会第一时间回复您的信息。因您只有6次问诊机会,所以请勿回复此条消息。

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