咨询描述:猫猫,公猫已绝育,将大概三个星期前猫咪出现干呕,咋抹嘴,一闻到肉就干呕,甩舌头,倒是没有流口水,吃肉干呕一下后,还会吃,从小就挑事,每次吃不多。爱吃猫粮,食欲正常,精神跟平时没区别,昨天带到我们这的医院检查了一下,我们这是小县城,水平有限,医生诊断杯状病毒,含量还挺高,他给看猫猫嘴里有溃疡,我想问一下医生,根据诊断单,我家猫还有什么其他问题,它的杯状好治么,怎么用药,
问题大致一样,细节不同?
陈奕达
执业兽医师
你好,根据上传的化验结果来看,猫咪有几个问题,
1.血液生化来看,猫咪有肝脏指标异常以及白球比低下的问题。这个说明猫咪是有肝脏疾病问题以及高度疑似猫传腹问题。
2.杯状病毒以及支原体感染问题。
综合现在猫咪的整个检查结果来看,
1.杯状病毒以及支原体感染问题,还是比较好治疗的。
2.肝脏问题需要时间治疗观察,现在无法评估。
3.最难受的就是白球比低下,高度疑似猫传腹问题。
4.猫咪现在是属于疾病综合体,整体来讲治愈率在50-60%左右。
5.然后以猫咪现在的情况,有两个方案,
一,进一步对猫传腹进行检查,抽取腹水,如果没有腹水那么就抽取脑脊液,进行冠状病毒突变点位检查,确诊是否猫传腹,然后多管齐下进行治疗。
二,针对杯状病毒以及支原体积极治疗,然后一周之后复查白球比,看一下白球比数值是否恢复正常。
奥忘了说,昨天体检做了冠状检查,是阴性,医生也怀疑来着,就做了一下冠状排查
陈奕达
执业兽医师
你好,由于长时间没有收到回复,这边根据现有信息给你做个总结,然后如果有什么疑问,可以继续提问,我会一一为您解答。
能够引发猫咪出现猫传腹的冠状病毒并不是化验大便就可以检测出来的。
化验大便是检测的消化道冠状病毒。
而引发猫传腹的冠状病毒,是冠状病毒突变之后的变异型态。需要化验脑脊液或者腹水胸水才能检查出来。
我家猫没有腹水 拍了片子,怀疑干性传腹的话,2021年也在他家做过生化,也是这两个数值高,那个时候因为癫痫,去做过检查,因为那时候平均7天就全身抽搐,后来按照癫痫治,吃了****,2022年年初犯了一次,之后到今年都没在犯过。这让我回来观察他有没有震颤,走路晃悠的情况
为保护用户隐私不显示图片/视频
陈奕达
执业兽医师
如果暂时没有腹水,并且不想抽脑脊液检查的情况下,无法进一步检测冠状病毒点位检查,那么可以先针对杯状病毒以及支原体,肝脏问题进行治疗(抗病毒,广谱消毒,保护肝脏,治疗口腔溃疡),然后后续定期进行复查,这个方案也是可以的。对于猫咪现在的疾病问题有很大帮助。
并且如果能够接受的情况下,对猫咪进行干性传腹逆推用药治疗,观察效果如何。(有一定的副作用,需要医生监护下进行)。
针对杯状病毒和支原体该如何治疗,医生给开的干扰素长效的48小时打一次,一共5针,还有个二联那个针5针,该给我开了消炎和维生素的针剂,因为医院离得很远,所以都得回来打,所以我没让他开消炎和维生素的针剂,可以换成口服用药么,医生,我们这的医生这么开合适吗 还有什么要补充的药么,消炎和维生素可以换成口服么
陈奕达
执业兽医师
你好,
1.猫咪这种情况还是需要打消炎以及维生素针的。不然控制不住病情。
2.口服用药也可以,但是效果没有打针那么好。可以先试用一下效果如何。
3.然后这边根据宝贝的情况,我给宝贝开个口服用药处方。供你采纳参考一下,以备不时之需。
药物具体用法用量已经帮你计算妥当,可以点击查看详情按钮,进入处方页面查看。
处方里面的
1. ****,宠物专用广谱消炎,可以起到控制炎症效果。
2. 维生素口服液,补充维生素,治疗口腔溃疡问题。
3.****,提高免疫力,增加病毒抗性。
4.****口腔喷剂,可以起到清洁口腔,消毒杀菌效果。
可以根据需求自行选择购买。
疾病期间,需要注意宝贝不能着凉,饮食不能过于杂乱,最好以猫粮为主,以少吃多餐为原则喂食。
需要吃****么,我想给他吃口服药,少挨几针,家里还有其他猫猫,在没去确诊杯状病毒前,一直一起生活开着,他们几个现在没有症状,我接下来针对其他猫该怎么预防
陈奕达
执业兽医师
你好,可以吃****,有帮助。其它猫咪可以吃上述****,配合****进行预防,会有很大帮助。
陈奕达
执业兽医师
非常感谢你对蘑菇宠医的信任,如果对我的解答满意,请给我点亮五星哦!祝爱宠早日康复!
后续宝贝有其它问题,可以到“蘑菇宠医”官方微信公众号找到我的医生继续向我提问,有问题随时联系。
希望我的建议可以帮到宝贝,如果爱宠平时有什么养护小问题也可以通过蘑菇宠医小程序搜索了解哦~“
为保护用户隐私不显示图片/视频
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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