咨询描述:症状描述:狗狗今年九岁, 泰迪 ,去年十月确诊糖尿病, 十二月开始打胰岛素, 一直到今年四月状态良好 体重控制在正常范围, 五月开始眼镜浑浊 这周开始出现撞墙现象 ,目前没有能坐手术的医院,请问一定要做手术吗?如果不做,如何避免更多糖尿病的并发症 例如青光眼和肾衰竭以及丙酮中毒?
问题大致一样,细节不同?
孙厚福
执业兽医师
您好,我已收到您的咨询,为了更好诊治,我需要近一步了解宝贝情况。
1.如果眼睛恢复唯一治疗方式就是手术治疗
2.需要控制好血糖就不容易出现酮酸血症
3.定期做一下全身体检就可以,疾病早期还是有症状表现
4.另外可以定期做一下尿液检查看看是否有酮体
除此之外,宝贝目前的症状来讲,您提供给我的信息有限,暂时我还无法给您一些保守的治疗建议,所以另外我需要和主人您再了解一些宝贝的情况。是否有其它异常行为或情况补充?希望主人您仔细提供给我。方便我更好的分析宝贝的病情,并给出更准确的诊断和保守的治疗建议。感谢您的配合。(若您需要离开本诊室,稍后可以到官方微信公众号“蘑菇宠医”内找到问诊订单继续和我沟通。)
狗狗眼睛出现白色晶体状物质,流眼泪,有时有少量白色脓液,这周视力明显下降很多。开始出现撞到墙角和玻璃门等症状。基本确诊是白内障了。无其他明显异常,精神良好,食欲好,排尿量稍微增加。狗狗性格变得有点急躁,不知是否和眼睛不适有关。暂时没找到能做手术的医院和医生,担心麻醉和手术对他这样的老年糖尿病狗有风险。有无眼药水或者是饮食可以缓解和抑制视力退化?是否需要加大胰岛素注射量?如果不做手术,有哪些方面需要格外注意?有什么针对糖尿病及其并发症的治疗和预防的具体治疗方法?
为保护用户隐私不显示图片/视频
孙厚福
执业兽医师
1.性格急躁不排除跟眼睛看不到有关系的
2.可以外滴洗眼液同时配合白内障眼药水
3.饮食上可以吃糖尿病处方粮可以更好控制血糖
4.如果血糖比较稳定暂时不需要增加胰岛素剂量
5.如果不做手术定期全身检查同时需要控制血糖,另外定期做一下尿液检查看看是否有酮体
6.并发症发生原因是血糖不稳定,如果控制好血糖正常不容易引起并发症
白内障眼药水需要自己购买平台没有
为保护用户隐私不显示图片/视频
白内障眼药水推荐什么牌子的?现在我们有给他滴的是海露眼药水,和这个益滴明作用有区别吗?还有就是如何日常监测他的血糖控制好了没有呢?之前是有带他去医院检测了两天的,但没法天天去,有什么日常可以用的办法呢?
孙厚福
执业兽医师
1.白内障推荐*****
2.建议用小动物进口专用更好一些
3.可以购买******免扎针血糖仪家用传感器,这个比较方法直接贴到皮肤上用手机监测就可以
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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