回复总结:治疗猫咪肾衰竭必须要输液,而且需要大量输液利尿,输液可以补充能量和营养,同时针对肾脏进行治疗。首先,要选择增强肾功能的药物,而且消炎药必不可少。其次,在治疗过程中一定要限制磷跟钠微量元素的摄入,这样可以缓解猫咪肾衰竭的情况,防止病情越来越严重。如果现在不能带猫咪去输液,那就只能给猫咪服用治疗肾衰的药物和处方粮,修复肾脏,看看能不能暂时稳定住病情。
问题大致一样,细节不同?
王冲
执业兽医师
您好,猫咪得了肾衰竭一般会有以下症状:精神萎靡,饮欲增加,流口水,呕吐,并且不断排尿,便秘,食欲废绝等症状。
治疗的话必须要输液,而且需要大量输液利尿,输液可以补充能量和营养,同时针对肾脏进行治疗,首先要选择增强肾功能的药物,而且消炎药必不可少。其次在治疗过程中一定要限制磷跟钠微量元素的摄入,这样可以缓解猫咪肾衰竭的情况,防止病情越来越严重。
带猫咪去做了生化,说是慢性肾病,现在在外面出差,不能带她去输液,在家能怎么照顾。精神不好,不怎么吃饭,只喝水。
王冲
执业兽医师
慢性肾衰竭非常难治疗,治疗慢性肾衰竭一般是先输液,把肾脏功能调整的稳定了,后期需要长期吃护肾药,加强护理,给予高能量,低蛋白的食物比如肾脏处方粮,而且猫咪容易脱水,虽然喝水但是也容易脱水,可以皮下输液,现在您不能带它输液,我只能给您开些药和处方粮,修复肾脏,看看能不能暂时稳定住病情
现在有点脱水的情况,能坚持吃到几克的处方罐头和处方粮。可以给她每天针管喂水吗?喝多了没什么问题吧,大概可以喂多少ml呢?
王冲
执业兽医师
可以给它用针管喂水,每天最少要摄入200ml的水,护肾的药一定要坚持喂,猫粮您可以给它弄碎弄成粉末用热水泡成糊糊状,用针管少量多次喂
还是不能上传图片,点了上传图片就是文字描述。不知道上传的视频看到没有,检测的生化异常指标为:GLU 14.56 BUN 大于等于35.7 P 2.84 AMY 大于等于3000 CRE 620 目前没有呕吐现象。没有说贫血,没有甲亢。 请问这个异常指标是慢性几期了,已经很严重了吗?去输液调理后,可以维持多久?
王冲
执业兽医师
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。
您家猫咪应该是处于二期,已经是比较严重了,如果及时输液能够稳定住病情不再恶化,猫咪通过长时间服药,也能存活一段时间,猫的寿命也取决于猫咪病情发展的速度,无法给出明确的存活时间
好的,谢谢。这个病情发展速度会很快
吗?服药的话要吃什么药呢,医院没有说开药。这几天喂水的话可不可以稀释一些葡萄糖兑着喂,因为我要周末才能回家带她去输液。这个病情后期猫猫会痛苦吗?因为她不表现出现,也不知道她会不会痛什么的。看到有说后期会有些口腔问题,是坚持刷牙,还是用一些口腔护理的药好些?口腔的药有什么建议的呢?您建议还需要有哪些特别的注意事项吗?
王冲
执业兽医师
根据宝贝的情况,我给它开个处方。处方里面的
1. **,治疗肾衰,每天两次,每次半勺
2.****,防止猫咪贫血,每天两次,每次1ml
3.**50mg,消炎抗感染,每天两次,每次半片
4.口腔喷剂,改善口腔环境,预防继发感染,每天两次,每次6喷
您可以根据需求自行选择购买
王冲
执业兽医师
另外,这几天给猫咪喂水时,还可以添加少量葡萄糖,不要太浓了,每天保证200ml液体。
后期会出现四肢无力,心律紊乱,四肢瘫软,全身瘫痪等症状。而且有可能会出现口腔溃疡,猫咪这个阶段就基本不吃东西了,嘴里会很疼。
其他的主要吃处方粮为主,配合口服药,定期做肾脏生化检测,观察指标是否能够稳定下降
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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