咨询描述:猫咪现在5个月,7月底的时候因为家里杀蟑螂,疑似因为杀蟑螂中毒,出现走路不稳,歪头症状,然后在宠物医院输液大概10天,回家还是歪头,但是状态有好转,大概在8月底,状态再次变化,昨天再次抽血医生初步怀疑是猫传腹,开了****及消炎药,昨天吃完药回家后感觉状态略有好转,今天白天可以撑起上半身坐着,之前都是趴着,但是今晚再次感觉不对劲,之前很爱叫,今天好像一天都没吭声,晚上给最爱的猫条嘴巴好像张不开一样,不知道现在应该怎么办,请医生看看,谢谢。
症状:歪头、走路不稳,四肢无力等
症状描述
问题大致一样,细节不同?
赵一强
执业兽医师
主人你好,您说的****是****吗?大概的用药剂量是多少?
宝贝因为歪头比较明显。不排除也有同时有可能有一些特发性的前庭综合症的问题。建议是如果您方便的话,最好同时给宝贝去做一个CT的检查,看看宝贝的脑部有没有这方面的问题。
从生化结果来说,也确实不排除有可能有猫传腹的可能性。但是宝贝没有腹水的情况下。干性猫传腹,比较容易误诊。建议可以给宝贝做个腹部B超,看看有没有一些淋巴结肿大,器官肉芽肿的问题。
****是口服药,不是打针,因为医生担心他现在身体太弱,直接上****会受不了,昨天做过B超没有提示腹水的问题,B超也没有其他异常,因为身体炎症也有,所以目前方案按照传腹在治疗,因为这些都是在中毒之后发生的症状,现在感觉有点束手无策
赵一强
执业兽医师
主人你好,宝贝有没有类似于我这样的腹部B超报告单?有的话发上来我看一下。
其次宝贝因为可能存在中毒的因素,那么中毒也属于应激的一种。确实也不排除有可能引起干性猫传腹的可能性。但是从我个人的角度来讲,我还是考虑他中毒的可能性比较大。只不过这个毒素最终引起的是一个前庭综合症的表现。或者换句话说,宝贝目前的这个神经系统症状。我的建议是,如果条件允许,最好还是给他调理调理身体。找一个有CT设备的动物医院。给宝贝好好做个CT检测。
为保护用户隐私不显示图片/视频
B超的没让医生给我单,不确定还有没有,假设是前庭综合症问题,能医治吗?还有就是应该怎么调理身体呀?给他买营养罐头他也不爱吃
另外查出来炎症指标也高,前庭综合症会让这些指标也变高吗?
赵一强
执业兽医师
主人你好,会导致炎症升高的。宝贝的saa升的也不是特别高。很多情况都有可能会导致他这个指标升高。包括前庭综合症。
治疗前庭综合症,可以给予激素。可以给予一些能够穿透血脑屏障作用到脑部的抗生素。以及一些修复脑部营养神经的药物。
宝贝之前的治疗用药有没有明细啊?
我可以帮您再看看。
我们之前打点滴的药我不太清楚了,然后就一直是吃护肝片,中毒后期为了解读吃了几天****,有没可能这个药起到了反作用
赵一强
执业兽医师
主人你好的有这个可能性的。实际上不是说解毒就必须得吃保肝药。本身来讲这个杀蟑螂的药,就是以麻痹神经为主的。也许当时检查的话,您会发现宝贝的肝脏可能啥事都没有。所以从开始的话,可能宝贝的输液的方向就有一些偏。那您看吧,如果说您想保守治疗的话,我就给您推荐一些营养神经的药物。
因为我们也跟宠物医院商量过,如果做ct之类深度检查猫咪要全麻,他现在身体很弱,就怕连全麻这关都过不了,我们之前中毒抽血检查的时候,是提示了肝指标异常了的。我想问的是是否有其他可能或者是否有其他方案可以尝试?如果可能会有效的药物用什么呢?
赵一强
执业兽医师
主人你好,那这个就没什么太好办法了。肝指标异常,您可以把刚中毒时的指标发上来我看看。
现在我只能给您一些营养神经的建议。可以注射神经生长因子。
可以口服****素。可以口服****。可以给宝贝用点激素。用点高规格的抗生素。这样对症处理看看。如果宝贝的腹部B超提示腹腔淋巴结肿大和器官肉芽肿。并且宝贝平时也有发烧的症状。那么猫传腹也可以继续用药,但是建议最好还是打打****吧。需要说明的1点是,如果猫传腹伤到神经了。有可能是不可逆的。
腹部b超没有异常,医生b超的时候我也在旁边看,医生及时的跟我说了,这个是第一次中毒做的检查跟后续部分用药情况,请您帮忙看看。
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。首先如果真的是中毒的话,引起的肝肾损伤,往往会导致指标高达十几倍以上。那么您可以看一下宝贝的肝酶指标,上升了也就两倍左右。那么轻微的上升,说句不好听,明天人感冒了吃点感冒药都有可能引起一些这种轻微的肝酶上升。所以我觉得宝贝还是不一定是这块地损伤的问题。很多有毒的东西的中毒机理。要么是损伤肝肾。要么就是损伤神经。所以结合宝贝后续出现这种严重的神经症状。我觉得还是针对神经这块好好营养修复一下,看看能不能恢复吧。
明白了,那您推荐的药可以直接在线购买吗?还是要到药店去买?
赵一强
执业兽医师
主人你好。我们平台有的药我给您开出来,没有的药您可能得想办法自己去买。我个人和平台本身是不建议用人用药的,但是考虑宝贝的这种病情要用到这些人用药。用药以后的效果我不能保证。出现任何的后果,我个人和平台不负任何责任。
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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