7岁未绝育公猫,尿闭。医生说肾脏有小结石,
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咨询描述:7岁未绝育公猫,一年前尿闭,导尿有泥沙结晶。做B超医生说肾脏有小结石,Sdma检查12。之后一直在恢复,排尿尿团都正常。医生说怕肾脏损伤,建议吃肾脏保健药。一直吃着莫瑞加肾脏修复的药,尿蛋白和微白蛋白都有所下降。这几天总故意在床上尿,今天又做了尿检(自然采尿),可否请医生看看这个检查结果。尿沉渣和之前比有些变化,出现了1+的颗粒管型和1+变移上皮细胞,会不会是肾脏不好了?之后还需要完善什么检查排除下是否是肾脏问题?要怎么护理比较好?
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. 颗粒管型在没有氮质血症或肾功能不全(如无蛋白尿等迹象)的动物尿液中有少数细颗粒管型,不应解释为有“可干预”的肾小管损伤,因为这种管型可以在无明显肾小管损伤或肾病的动物尿液中看到,并且可能是一过性发现。
2. :健康尿液中可有少量脱落的尿路上皮细胞,增多见于膀胱炎。
3.建议做一下UPC,尿检,SDMA,彩超,肾功能综合检查一下
您好 附件有尿检单 请结合指标解读 另外 第一条我在网上找到了原文 可否不要复制粘贴 如何排除颗粒管型是一过性还是已经有肾脏损伤?
孙厚福
执业兽医师
1第一条解释一下颗粒管型,之前有SDMA升高病史可以做一下UPC,SDMA,彩超,肾功检查
2.目前还是需要连续测一下尿液检查,同时其他检查也建议复查一下
3.可以多喝水,同时可以口服保肾口服药物
好的 SDMA好久不查了 之前查在正常范围 UPC和肾功能是血检吗 检查项目名字叫什么呀 另外可以推荐一些保肾药吗 什么效果比较好
孙厚福
执业兽医师
1.UPC也是通过尿液检查,肾功能血液检查就可以
检查项目就是UPC检查,肾功能是生化检查
2.推荐口服***和**********我给它开个处方。处方里面的1. *****早晚各1ml
您可以根据需求自行选择购买。
为保护用户隐私不显示图片/视频
请问尿检出现这种情况是紧急情况吗?尿蛋白一直有的,只是尿沉渣突然出现颗粒管型,有点担心。需要马上完善检查吗?还是可以先观察着?另外因为夏天,这一阵子每天都喝两个汤罐,不知道这个会不会对肾不好的猫有影响?肾不好,怎么补水才好呢?
孙厚福
执业兽医师
可以暂时先观察看看,少量正常问题不大的,之后复查时候完善一下检查,不排除跟吃罐头夜游关系的,可以肾脏湿粮,同时可以用流动水看看是否可以增加喝水量
为保护用户隐私不显示图片/视频
那像******* *****这种现在*****可以用吗 因为他尿检一直有蛋白 之前尿里蛋白+1 现在蛋白质2+ 蛋肾不好的指标吧 还是别的原因也可能导致尿里蛋白阳性 *****是不是可以降蛋白 有副作用吗
孙厚福
执业兽医师
1.替米沙坦是慢性肾衰用的药物,有副作用可能会引起胃肠反应,血压升高使用时候需要监测一下血压
2.建议从食物调整一下可以吃肾脏处方粮配合湿粮看看蛋白尿是否可以控制
孙厚福
执业兽医师
我给它开个处方。处方里面的1. *****您可以根据需求自行选择购买。
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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