公猫进行尿道手术后 ,才半个月的时间,就开始尿少,滴尿了。
873次阅读
咨询描述:我家公猫进行尿道再造手术后 ,才半个月的时间,就开始尿少,滴尿了。之前手术的医生说可能是尿道增生了。需要再做手术,但是二次手术还是有增生的风险,这样的话应该怎么处理。他第一次手术拔管后有尿血的情况,是不是没有消炎到位造成的?
问题大致一样,细节不同?
曹航
执业兽医师
这种情况想彻底解决,应该需要二次手术 然后把这个尿道再往外拉一些,就是过了尿道球腺,但是这种手术的话,需要彻底的把里面肌肉剥离 尿道彻底游离开,这个肯定是有增生的风险 但是如果不做的话,其实还是会尿频,然后尿少
曹航
执业兽医师
已经过了半个月,应该和炎症关系不太大 还是和自身增生的可能性要大一些
后期又打了一个星期的消炎针,情况稍微好了一点,停针一个星期后,好像滴尿都少了,而且他也不太爱喝水了。
也就是再二次手术?二次手术如果增生的话,是不是就无法再手术医治了?
曹航
执业兽医师
如果做了两次 还出现这种情况 之后可能就不能再做第三次手术了 因为尿道的长度有限 这个第二次手术的时候 可以把尿道口做的大一些 再就是适当的减减肥 都是有一定帮助的然后吃一段时间处方粮
他已经瘦了一圈了 我最怕就是术后增生到无法再治疗,那就只能等死了。
曹航
执业兽医师
那如果这种情况,如果想保守的话, 主要是把尿管再留置一下 留一个双腔导尿管,留个三到五天期间配合输液,然后看看之后怎么样
上次尿管留了7天,就是想解决增生的问题,最后还是出事了,也就是二次手术,增生一定会有的,具体有什么别的方法可以抑制增生,?
曹航
执业兽医师
最有效的办法就是把尿道口做大一点然后适当的减肥 尿道口大一点的话,它之后恢复完了,尿道口肯定会回缩一些 所以说做大一点,等他回缩完之后就是正常的了 或者是换一个医院重新做,
曹航
执业兽医师
因为已经保守用过导尿管儿了 效果一般 最可靠的办法还是要手术 但是也有一定的风险 风险率在30%左右
如果没有完全抑制增生,那手术就是失败了,后期该怎么护理?
曹航
执业兽医师
后期做完手术的话要给他插着导尿管5~7天 ,然后每天给他输液 伤口每天给他涂药,防止增生,缝合的时候尿道的粘膜一定和皮肤对齐
之前好像只输液了一天, 没有涂过药。这是炎症引起的。
曹航
执业兽医师
下次做完的话,可以尝试多用几天抗生素 然后皮肤一定要对合完整,给他涂药
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
{"492970":{"id":492970,"case_id":55333,"user_id":1972513,"to_user_id":2364275,"type":3,"content":"这两个用哪个都行,一天三次","media":{"images":{},"videos":{},"business_params":{"prescription_id":147737}},"is_doctor":1,"status":1,"created_at":"2023-07-17 03:31:41","show_rx":true,"rx_info":{"id":147737,"rx_no":2.0230717033132503e+24,"user_id":2364275,"doctor_user_id":1972513,"is_independent":0,"case_id":3123936,"pet_info":{"pet_id":0,"pet_name":"未知","pet_nickname":"未知","pet_gender":1,"pet_birth":"2-0","pet_weight":5,"pet_vaccination_status":0,"pet_in_insect_repellent_status":0,"pet_out_insect_repellent_status":0,"pet_age_format":"2岁"},"diagnose":"外涂","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2023-07-17 03:31:32","updated_at":"2023-07-17 03:31:41","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":103911,"prescription_id":147737,"doctor_user_id":1972513,"product_id":785,"product_sku_id":827,"dose":1,"dose_unit":"喷","use_method":"外喷","frequency":"每天3次","days":14,"number":1,"remark":"","created_at":"2023-07-17 03:31:32","updated_at":"2023-07-17 03:31:32","product_info":{"id":785,"hash_id":"L6mEd3xG0ypVGQ2W","class_ids":{"0":1,"1":2},"category_ids":{"0":169},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":8,"sell_point":"复合溶菌酶消毒喷剂30ml","title":"可鲁复合溶菌酶消毒喷剂 30ml\/瓶\/盒","recommend_reason":{"0":"动物的皮肤和粘膜消毒"},"baike_guide_text":"","baike_article_hash_id":"","advword":"皮肤病,细菌感染,外伤","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"30ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2023\/03\/b5035dcc45faa6fabd47b50a77ad04ce.png","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":49,"max_price":49,"sale_count":283,"tags":"","sort":0,"status":0,"delete_status":0,"created_at":"2021-12-20 17:27:19","updated_at":"2024-07-30 10:22:33","ins":{"id":8,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"复合溶菌酶消毒喷剂","trade_name":"可鲁喷剂","en_name":"Compound Lysozgme Disinfectant Spray","brand_name":"可鲁","is_prescription":0,"cover":"\/drug\/2020\/10\/c143288e0ecd853448e37d453dc4965e.png","specification":"30ml\/瓶\/盒","reference_price":75,"component":"溶葡萄球菌酶,溶菌酶,醋酸氯已定","indication":"动物的皮肤和粘膜消毒。","usage_dosage":"1.采用本品均匀喷洒于需消毒部位或医用棉球蘸涂,作用5分钟;\n2.或用本品浸湿无菌纱布后湿敷需消毒部位,作用5分钟。","contraindication":"","adverse_reaction":"","attention":"本品不能与双氧水、高锰酸钾、碘制剂等氧化性物质配伍或合用。","interaction":"本品不能与双氧水、高锰酸钾、碘制剂等氧化性物质配伍或合用。","approval_no":"","storage_method":"置于阴凉干燥处保存","validity":"2年","manufacturer":"昆山博青生物科技有限公司","status":1,"created_at":"2020-10-26 15:58:22","updated_at":"2020-10-26 16:06:46"}},"product_sku_info":{"id":827,"product_id":785,"title":"可鲁复合溶菌酶消毒喷剂 30ml\/瓶\/盒","advword":null,"price":49,"market_price":80,"cost_price":0,"stock":502,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"30ml"}},"cover":null,"thumb":"","sale_count":294,"status":0,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-20 17:27:19","updated_at":"2024-07-30 10:22:33"}},"1":{"id":103912,"prescription_id":147737,"doctor_user_id":1972513,"product_id":812,"product_sku_id":854,"dose":1,"dose_unit":"抹","use_method":"涂抹","frequency":"每天3次","days":14,"number":1,"remark":"","created_at":"2023-07-17 03:31:32","updated_at":"2023-07-17 03:31:32","product_info":{"id":812,"hash_id":"VjX39W4zDPxQ0bvZ","class_ids":{"0":1,"1":2},"category_ids":{"8":169},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":4,"sell_point":"百灵金方抑菌膏10g","title":"贝里奥百灵金方抑菌膏 10g\/瓶\/盒","recommend_reason":{"0":"用于手术、术后切口、咬伤、烫伤、交通伤等创面感染","1":"用于细菌、真菌引起的皮肤及粘膜感染","2":"用于子宫及产道、外生殖器及肛门腺的感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"皮肤病,脓皮症,细菌感染","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"10g"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/8fd35c62b90e9eb884e32c271cdcc0c1.jpeg","images":{"0":"https:\/\/cdn.moguvet.com\/shop\/2023\/06\/b4a90fdc25766615b045299982a0dbf6.jpg","1":"https:\/\/cdn.moguvet.com\/shop\/2023\/06\/cb0fcbe97a1a93d979f82fbf7e02ddd2.jpg"},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":88,"max_price":88,"sale_count":282,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-21 16:36:03","updated_at":"2024-11-23 10:02:34","ins":{"id":4,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"百灵金方抑菌膏","trade_name":"百灵金方膏","en_name":"","brand_name":"贝里奥","is_prescription":0,"cover":"\/drug\/2020\/10\/a76d880a7848393054bd1d4991a3b027.JPG","specification":"10g\/瓶","reference_price":130,"component":"麝香、珍珠、冰片、细胞集落因子等。","indication":"1.手术中、术后切口、咬伤、烫伤、交通伤等创面感染、已经产生耐药菌的创面治疗。\n2.细菌、真菌引起的皮肤及粘膜感染、已经形成溃烂、溃疡等皮下组织感染。\n3.子宫及产道感染。\n4.外生殖器及肛门腺的感染。","usage_dosage":"1.外用,将膏体涂于创面,用量视感染面积大小而取,每日更换一次。\n2.溃烂疮面有流脓、渗血、渗水情况的,配合百灵金方粉撒在疮面薄薄一层,疮面周围涂百灵金方软膏,纱布包扎即可。","contraindication":"","adverse_reaction":"","attention":"1.外用,严禁内服。\n2.内含麝香,孕畜慎用。","interaction":"","approval_no":"","storage_method":"密封,在凉暗干燥处保存。","validity":"2年","manufacturer":"河南威灵仙宠生物科技有限公司","status":1,"created_at":"2020-10-21 14:13:33","updated_at":"2020-10-29 16:06:30"}},"product_sku_info":{"id":854,"product_id":812,"title":"贝里奥百灵金方抑菌膏 10g\/瓶\/盒","advword":null,"price":88,"market_price":140,"cost_price":0,"stock":762,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"10g"}},"cover":null,"thumb":"","sale_count":291,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-21 16:36:03","updated_at":"2024-11-22 21:33:14"}}},"drug_data_bak":{"0":{"id":103911,"prescription_id":147737,"doctor_user_id":1972513,"product_id":785,"product_sku_id":827,"dose":1,"dose_unit":"喷","use_method":"外喷","frequency":"每天3次","days":14,"number":1,"remark":"","created_at":"2023-07-17 03:31:32","updated_at":"2023-07-17 03:31:32","product_info":{"id":785,"hash_id":"L6mEd3xG0ypVGQ2W","class_ids":{"0":1,"1":2},"category_ids":{"0":169},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":8,"sell_point":"复合溶菌酶消毒喷剂30ml","title":"可鲁复合溶菌酶消毒喷剂 30ml\/瓶\/盒","recommend_reason":{"0":"动物的皮肤和粘膜消毒"},"baike_guide_text":"","baike_article_hash_id":"","advword":"皮肤病,细菌感染,外伤","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"30ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2023\/03\/b5035dcc45faa6fabd47b50a77ad04ce.png","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":49,"max_price":49,"sale_count":283,"tags":"","sort":0,"status":0,"delete_status":0,"created_at":"2021-12-20 17:27:19","updated_at":"2024-07-30 10:22:33","ins":{"id":8,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"复合溶菌酶消毒喷剂","trade_name":"可鲁喷剂","en_name":"Compound Lysozgme Disinfectant Spray","brand_name":"可鲁","is_prescription":0,"cover":"\/drug\/2020\/10\/c143288e0ecd853448e37d453dc4965e.png","specification":"30ml\/瓶\/盒","reference_price":75,"component":"溶葡萄球菌酶,溶菌酶,醋酸氯已定","indication":"动物的皮肤和粘膜消毒。","usage_dosage":"1.采用本品均匀喷洒于需消毒部位或医用棉球蘸涂,作用5分钟;\n2.或用本品浸湿无菌纱布后湿敷需消毒部位,作用5分钟。","contraindication":"","adverse_reaction":"","attention":"本品不能与双氧水、高锰酸钾、碘制剂等氧化性物质配伍或合用。","interaction":"本品不能与双氧水、高锰酸钾、碘制剂等氧化性物质配伍或合用。","approval_no":"","storage_method":"置于阴凉干燥处保存","validity":"2年","manufacturer":"昆山博青生物科技有限公司","status":1,"created_at":"2020-10-26 15:58:22","updated_at":"2020-10-26 16:06:46"}},"product_sku_info":{"id":827,"product_id":785,"title":"可鲁复合溶菌酶消毒喷剂 30ml\/瓶\/盒","advword":null,"price":49,"market_price":80,"cost_price":0,"stock":502,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"30ml"}},"cover":null,"thumb":"","sale_count":294,"status":0,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-20 17:27:19","updated_at":"2024-07-30 10:22:33"}},"1":{"id":103912,"prescription_id":147737,"doctor_user_id":1972513,"product_id":812,"product_sku_id":854,"dose":1,"dose_unit":"抹","use_method":"涂抹","frequency":"每天3次","days":14,"number":1,"remark":"","created_at":"2023-07-17 03:31:32","updated_at":"2023-07-17 03:31:32","product_info":{"id":812,"hash_id":"VjX39W4zDPxQ0bvZ","class_ids":{"0":1,"1":2},"category_ids":{"8":169},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":4,"sell_point":"百灵金方抑菌膏10g","title":"贝里奥百灵金方抑菌膏 10g\/瓶\/盒","recommend_reason":{"0":"用于手术、术后切口、咬伤、烫伤、交通伤等创面感染","1":"用于细菌、真菌引起的皮肤及粘膜感染","2":"用于子宫及产道、外生殖器及肛门腺的感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"皮肤病,脓皮症,细菌感染","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"10g"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/8fd35c62b90e9eb884e32c271cdcc0c1.jpeg","images":{"0":"https:\/\/cdn.moguvet.com\/shop\/2023\/06\/b4a90fdc25766615b045299982a0dbf6.jpg","1":"https:\/\/cdn.moguvet.com\/shop\/2023\/06\/cb0fcbe97a1a93d979f82fbf7e02ddd2.jpg"},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":88,"max_price":88,"sale_count":282,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-21 16:36:03","updated_at":"2024-11-23 10:02:34","ins":{"id":4,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"百灵金方抑菌膏","trade_name":"百灵金方膏","en_name":"","brand_name":"贝里奥","is_prescription":0,"cover":"\/drug\/2020\/10\/a76d880a7848393054bd1d4991a3b027.JPG","specification":"10g\/瓶","reference_price":130,"component":"麝香、珍珠、冰片、细胞集落因子等。","indication":"1.手术中、术后切口、咬伤、烫伤、交通伤等创面感染、已经产生耐药菌的创面治疗。\n2.细菌、真菌引起的皮肤及粘膜感染、已经形成溃烂、溃疡等皮下组织感染。\n3.子宫及产道感染。\n4.外生殖器及肛门腺的感染。","usage_dosage":"1.外用,将膏体涂于创面,用量视感染面积大小而取,每日更换一次。\n2.溃烂疮面有流脓、渗血、渗水情况的,配合百灵金方粉撒在疮面薄薄一层,疮面周围涂百灵金方软膏,纱布包扎即可。","contraindication":"","adverse_reaction":"","attention":"1.外用,严禁内服。\n2.内含麝香,孕畜慎用。","interaction":"","approval_no":"","storage_method":"密封,在凉暗干燥处保存。","validity":"2年","manufacturer":"河南威灵仙宠生物科技有限公司","status":1,"created_at":"2020-10-21 14:13:33","updated_at":"2020-10-29 16:06:30"}},"product_sku_info":{"id":854,"product_id":812,"title":"贝里奥百灵金方抑菌膏 10g\/瓶\/盒","advword":null,"price":88,"market_price":140,"cost_price":0,"stock":762,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"10g"}},"cover":null,"thumb":"","sale_count":291,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-21 16:36:03","updated_at":"2024-11-22 21:33:14"}}}}}}
微信扫一扫
立即问宠医