咨询描述:博美犬,7岁,肥胖。大概2个月之前发现睾丸位置有肿瘤,但是它心脏不好,动手术风险很大,就没动手术,而且它的饮食,精神都挺好,跟以前没有变化,但是大概在三天前突然就变的很虚弱,走路没劲,喘的厉害,我感觉不太像是肿瘤给它带来的变化,因为是很突然的就虚弱
问题大致一样,细节不同?
孙嘉辰
执业兽医师
您好,首先根据您的描述来看,狗狗确实突然虚弱,有可能是受肿瘤的影响,但是有没有一种可能性,就是他当前的问题是由于心脏病加剧而引起的呢?因为从您提供的检查结果来看,当前狗狗确实患有扩张性心肌病,并且最主要的问题出现在左心上面,那么在临床上左心功能不全的患者,最主要的表现就是呼吸困难或者呼吸急促,外加运动不耐受。
一般来说,肿瘤只要没有出现破溃并且有出血的情况,往往不会导致一个急性症状的发作,因为肿瘤在临床上其实属于偏中慢性的疾病,所以说结合您所提供的这些情况,我觉得比较合理的推测就是他当前的问题,最有可能就是心脏原因引起的。
所以对于当前这个情况总解决呢,我个人的建议是最好能够给他使用一些治疗心脏病的药物进行维持。不知道您之前有没有一直给他用心脏病的药物,这么建议的理由是,我们要知道心脏病是一种治不好的疾病。对于该病的治疗,其实主要就是缓解症状,减少狗狗的痛苦以及尽量拖慢病情发展的速率。
所以说如果您平时有给他使用心脏病的药物,那么您发过来我看一下,看看是否需要做出什么其他的调整,如果没有使用心脏病的药物,也跟我说一下,我根据当前的情况可以做一些药物推荐。
以前没发现有心脏病,所以从来没吃药,就是这几天我妈给它吃的辅酶q10.人吃量的十分之一,它现在的状况是精神头还好,饮食,排泄都正常就是四肢无力,能走,但是没劲,有一会就喘粗气
孙嘉辰
执业兽医师
您好,现在这种情况,辅酶q10已经不起什么作用了,因为这是一种保健品,也不是一种药品,它主要就是清除自由基,减少心脏老化的作用,但是他现在是确实有心脏病,所以从现在起,药就不能断了,也只有这样才能多维持一段时间。
能确定是心脏问题引起的目前突然虚弱症状吗,最近几天有时候突然叫几声,感觉是疼痛引起的,每次几秒,每天1.2次吧,另外,除了吃药去宠物医院还需要做什么治疗呢,比如输液啥的,还有平时生活中需要注意什么问题,对了,它的血糖是7.96L.有没有可能是高血糖引起的一些症状
孙嘉辰
执业兽医师
您好,目前在所有情况中,心脏问题导致的症状所出现的概率是最大的。除了去医院和吃药以外,最重要的是要坚持用药,不能三天打鱼两天晒网,能把坚持用药做到的,才是维持这种疾病的最重要的点。如果说生活中有什么需要注意的,那就是避免去刺激他,任何刺激,因为心脏病患者受不了刺激,输液什么的就免了吧,因为这种做法也解决不了什么问题。高血糖的临床表现不是这样的,并且他现在的血糖并不算很高,甚至说在老年动物里这就算是正常的。
刚才跟它玩了一会,它现在精神头挺好,饮食,排泄都正常,就是四肢明显无力,遛弯之后喘粗气,要趴好一会才能好,有时候趴床上要挣扎几下才能起来,这些都是心脏病的表现吗,那吃药之后四肢无力的症状会不会缓解一点
孙嘉辰
执业兽医师
您好,是有可能出现这种表现,因此建议先吃药试试,后期需要持续检测,有可能需要调整剂量。
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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