咨询描述:赵大夫,您好!猫咪因为装修引起尿闭,肾衰,病程10多天,治疗花费近万元,现在有的大夫说转成慢性肾衰要洗肾,做透析,有的说要隔天过去打一针,刚才给他买了支付宝保险。很担心他一直被病困扰,也担心治疗无底洞。几年一直在您这里问诊,请帮忙看看有无有效低价廉的办法。目前排尿6,7次,尿量和病前差不多。不怎么吃东西,体重由生病第一天的4.5公斤,十几天降到4.3公斤。基本靠我针筒喂食。精神比在医院输液时好了很多。
问题大致一样,细节不同?
赵一强
执业兽医师
主人你好,宝贝最近又尿闭了吗?有没有宝贝最近的化验结果报告单呀。我先给您看一下。
这是两家医院3次的报告。
为保护用户隐私不显示图片/视频
赵一强
执业兽医师
主人你好。宝贝最近一次尿闭的时间是8月18号是吗?那我觉得如果是渗透性的尿毒症的话,就会在积极的输液治疗的情况下,很快指标降下来。那么最近一次24号的化验指标,宝贝已经降到二期肾衰了。
那这种情况只要宝贝的b超结果,肾脏形态没有影响。后续积极的皮下补液。吃一些常规的护肾药物。和一些促食欲药。宝贝很快都能恢复健康的。
那么宝贝频繁的尿闭。 一次尿闭都能引起肾后性的肾损伤。所以也建议您针对宝贝的原发疾病尿闭的问题给予一些对症的饲养养护。比如说如果是因为结石导致。那就需要长期的给予泌尿道处方粮。给予一些溶结石的药物。
这是他第一次尿闭,出现呕吐送医院的。之前有乱尿行为,只认为是应激,喷了药,没引起重视。第一家医院全面检查后让我在家输液24小时,每小时5ml,只给盐水,打消炎针,冲洗膀胱。第二家医院认为应该早点给利尿补肾,输液6天,让回来吃药。处方粮猫一口不吃,是不是应该针筒灌?他只躲在角落不出来,我老灌他的缘故。他在医院输液也很受罪,听医生说一直缩在笼子角落,不吃也不喝,我去接他才站起来扒笼子叫。在家稍微好一点,喝水还好,吃一点点。我是不是应该每隔一小时或者半小时灌一次?目前灌的有牛肉锭,肾衰停,派结实,益生菌,蛋黄,罐头。有没有不该喂的,应该增加什么?
赵一强
执业兽医师
您给他现在用的这些药都可以用。常规的一些护肾和利尿的药物。但是我上面和您说的建议是您给宝贝做个尿常规和尿沉渣,以及腹部B超的化验。确诊一下宝贝到底有没有膀胱炎,或有没有我说的膀胱结石的问题?或者说宝贝尿闭以后导尿的时候,导出来的尿液当中有没有结晶呢?确诊以后,按我的建议就是给您家宝贝后续把这些修复膀胱粘膜的药和溶结石的药,以及常规的消炎药利尿剂吃上。后续观察看下效果。
第一次去的时候b超有结石,不小的一块在膀胱里。第一家医院每次去都冲洗,有粘膜出来,冲的水是浑浊的,医生说白色的细微颗粒是结石。现在想知道,除了您提到的尿检,还要血检吗?需要吃什么提起食欲的药物?有了益生菌维生素,今天医生开了抹在耳后的药,没看出效果。您说的消除结石的药是什么?
赵一强
执业兽医师
基本上不需要血液检查了,但是如果您想再复查一下肾功,可以一周以后再复查一下。
现在一方面可以给宝贝皮下补液看一下效果。另外涂抹的****透皮剂如果不管用也可以给宝贝吃一些****促食欲看一下,一天两次,一次半粒,也是具有促食欲的效果。但是需要和您声明的是,这种人用药的效果不能给您明确药效,用药以后的出现任何后果和风险,我个人和平台都不负任何责任。
其它的溶解结石的药和保护膀胱黏膜的药我都开出来您参考看一下。
****好像是治疗过敏皮炎的?您开的第一种药已经有了。只买第二种可以吗?
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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