咨询描述:猫咪3岁半 公猫。2022年3月份开始第一次尿频 滴尿 吃了药好了 2023年5月份再次尿频 滴尿 吃了消炎药也好了。2023年9月份又尿频滴尿 吃了10多天药没有好 9月7号尿闭进医院导尿7天输液治疗。 7天后出院吃了三天消炎药 还有个一直吃的治疗泌尿系统的 猫粮也换成处方粮 每天灌水大概60-90毫升。到现在 有时候还是会频繁尿尿 有的时候就不频繁 但是尿团都没有没生病的时候大 怎么从能不让猫咪复发
问题大致一样,细节不同?
闻晓敏
执业兽医师
上次去医院导尿做超声了吗?有没有看到膀胱里面的情况?是否有膀胱结晶结石?或者是因为特发性膀胱炎导致的尿闭?
他上次这个检查结果已经造成了急性肾损伤,一般来说治疗一个星期可以恢复,不知道你出院之前是否复查肌酐尿素氮?
如果膀胱里面有结晶或者结石,需要吃泌尿道处方粮,多喝水,长期调理,可以吃一些化石的药。如果是特发性膀胱炎,那就需要多模式管理,包括环境,情绪,生活空间,饮食等等。
因此,我们需要找到造成他这种情况的原因才好给养护指导意见
没有做超声检查 只做了生化 我们这个是县城医院 之前5月份做过B超 我不清楚是b超还是拍片 200快 检查出没有什么问题 这次换了另一个医院 做不了b 超导尿的时候医生说有泥沙在里面。出院之前没有复查
这个化验单子是急性肾衰竭还是慢性肾衰竭。特发性膀胱炎怎么注意饮食。哪种因素导致的尿闭更容易复发。怎么调理避免不在复发尿闭 现在还没有完全好 还是会频繁尿尿
闻晓敏
执业兽医师
有泥沙在里面说明大概率有膀胱结晶,这个可以通过超声看出来,那你第一次做的那个大概率是拍的X光,拍了两张正侧位各一张。胱氨酸结石,以及膀胱结晶在x光下是看不出来的,最好是结合超声一起看。
单纯的一张化验单是看不出来急性肾衰,还是慢性肾衰的,只能看到肾脏功能是有损伤的,他如果以前没有任何问题出现这种情况推测是急性肾衰。
特发性膀胱炎很难找到具体的原因,但是临床上常常是因为紧张,应激,受到惊吓环境改变等因素造成的。我们在这些方面就要多注意,尽量饲养在安静,舒适的环境里面避免应激。
不能说哪种因素造成的更容易复发,要做多模式管理,比如:1,现在建议换成泌尿道处方粮,2,多喝水,3,饲养在安静舒适的环境,多准备一个猫砂盆,给猫咪营造空间,比如准备猫爬架,4,家里喷洒***舒缓猫咪情绪减少应激。这些都是我们可以做的。
闻晓敏
执业兽医师
没有什么办法可以百分之百保证尿闭不复发。
甚至于有些在短时间之内反复复发的都建议做尿道造口手术的。
宠物医院说是慢性肾衰 但是以前他没有什么毛病 都正常 没有做过体检 就是精神什么都正常 现在在吃处方粮了。就是猫咪总喜欢出去玩 每天都要带他出去溜达2次 但是胆子还比较小 家里来人什么的他就躲起来了 他不爱喝水 罐头现在也不让吃 泌尿系统的罐头猫咪又不喜欢吃 每天我就用针管给他喂水 60-90毫升 灌水他也不配合 现在用不用继续吃消炎药了呀 医生我给你发的那个药图片是宠物医院开的 说让长期吃 我怕他在尿闭每次去医院又受罪 有没有什么药或者办法在他尿闭的时候吃能缓解不用去医院的 去医院就是排尿 怕经常插导尿管猫咪尿道有增生什么的 公猫尿闭除了做手术是不是没什么彻底治疗的办法了 是所有的公猫都有这个毛病么 还是他的体质不好
如果是特发性的膀胱炎 吃这么多天消炎药和打消炎针也该好了吧
闻晓敏
执业兽医师
我不认同线下医生的说法,根据经验单独的这一次检查并不能说明是慢性肾衰,急性肾衰的可能性反而会更大一些。如果是慢性肾衰的话,你现在去给他复查肾脏指标也是异常的,如果有机会的话,你可以带去复查一下。
罐头现在不让吃是什么意思?
其他的非泌尿道处方罐头如果他愿意吃的话也是可以的,毕竟罐头含水量多,相当于增加被动饮水量。
尿闭是排尿排不出来,尿闭了是一点尿都没有,而不是尿团小,滴尿这种表现,真正的尿闭在临床上属于急诊,有死亡风险,你自己在家没有办法处理的,也没有办法推荐一个药物吃了就不尿闭,必须送医院。如果是反复尿闭,那就直接做尿道造口手术,把它变成一只母猫。
不是所有公猫都有这个问题,只是说相对于母猫来说,公猫更容易有这方面的问题。因为公猫的尿管比母猫更细一些。
你现在可以给他吃一些泌尿道方面的抗生素,比如***和**都是经常用到的。
那边的宠物医院说 不能再给猫咪吃任何猫条罐头 然后我给猫咪买了泌尿系统的罐头 猫咪又不吃 猫咪有10斤 那消炎药是要给他经常吃的吗 还是吃多久医生。***在网上买可以不。
闻晓敏
执业兽医师
相对于喝水少,或者不喝水的患有泌尿系统疾病的猫咪,给它喝足够的水比不给更有利于疾病恢复,因此我是建议可以吃罐头的,甚至你还可以在它喜欢的罐头里加水,骗水喝。我给他开个处方,处方里面主要是:
1,***,泌尿道消炎药抗菌抑菌
2,***,促进饮水、膀胱黏膜修复
3,***泌尿修复
可以按照处方说明的用法用量使用。你可通过处方自主选择购买。咱们药品从成都发货,快递时效,一般三天到,具体看你所在地区。
用药1周后可以来复诊(购买咨询服务包咨询更优惠),届时根据宝贝恢复情况来调整治疗方案,有问题可随时在线联系。
免费赠送你一次追问,如果你还有什么疑问可以继续提问,我看到会及时回复。
闻晓敏
执业兽医师
没有,是促进饮水促进膀胱黏膜修复,以及泌尿道的抗生素。化石的可以购买***试试
闻晓敏
执业兽医师
希望我的建议可以帮到你,非常感谢你对蘑菇宠医的信任。如果我的回答能帮助到你,请在咨询结束后留下5星好评哦,后续宠物有其他问题,可以到“蘑菇宠医”官方微信公众号继续向我提问
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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