咨询描述:您好,我是刚才猫咪尿闭那个,我咨询线下医生说有两种方案,一直就是留置导尿管加住院,还有就是导尿一次然后回家吃药什么的,后面这种方案,可行性大吗,我怕不输液几天,后续还是尿不出来
问题大致一样,细节不同?
邓薄鸿
执业兽医师
你好,只是看到你询问的情况就是你这种话,其实也是两种方案,但是归根结底的话还是需要看猫咪的严重程度,正常没有达到就是急性肾衰血尿的情况下,那么就是说可以输液也可以不熟悉啊,这个就是没有强制要求回家多喝水也是可以的,如果说出现血尿或出现肾衰竭了,这个时候就不能够回家吃药,这种是必须要输液的
这是它刚拍的片子 这个能看出膀胱情况吗 他有点便秘
为保护用户隐私不显示图片/视频
邓薄鸿
执业兽医师
就是从你刚上传的这个x光片看的话,膀胱目前是比较大的,这种的话是需要导尿,在肠道粪便没有遮挡的位置暂时没有看到明显的结石,但是这种他是看不出来膀胱内部有没有结晶之类的,那个是需要B超检测才能够看到。
医生让先住院观察一下,喂了促进排便的药,说频繁蹲坑可能也是便秘,看看下午两点前能不能排出尿和便,要是导尿的话,接回家需要怎么护理照顾呀?
邓薄鸿
执业兽医师
可以的,没有问题,在医院医生也能够更好的观察,但是如果说他超过12个小时没排尿,频繁蹲对猫砂盆还是尿闭的概率最大的。正常如果说下导尿管之后回家,最好是给他关在笼子里面尽量限制运动,同时佩戴一个伊利莎白圈就可以了,在家的话一定要保证日常的饮水量充足,就是多喝水
好的,还想问您一下,导尿手术风险大吗?术前需要做什么检查吗,它以前没有打过麻醉,我担心手术有什么意外
邓薄鸿
执业兽医师
导尿话就是他不属于手术,就是一个常规处置操作,这个一般基本没有什么太大的风险。麻醉的话是可能会有一定风险的,如果说特别担心这个风险的话,那么你可能就是需要在麻醉之前进行一部分像是生化,血气,心脏之类的检测来评估麻醉的风险的。
医生,它要是导完尿回去还尿不出去可咋整啊,喂药或者输液那种有用嘛,我很担心导尿完还应激不尿,有什么好的药物推荐吗
邓薄鸿
执业兽医师
就是这种是有可能尿不出来的,吃药肯定是得吃药,这种的话没有说什么特别好的办法的就是对症吃药,如果说比较严重的就是导尿管多留几天,再多次尿闭后期只能是进行最后的手术,就是猫尿道造口,给他的尿道改成像母猫一样。常规用药***,***,***。根据宝贝的情况,我给它开个处方。
处方里面的
1.***,消炎,每天一次,每10公斤吃一片。
2.***,止疼消肿,每天一次,每8公斤吃一片。
3.***,针对尿频尿血等泌尿道问题,每天两次,5公斤以下每次1片,5公斤以上每次2片。
你可以根据需求自行选择购买
医生您好,就是刚导完尿,医生说没有结晶和堵塞,非常流畅,感觉不像尿闭,但是有点便秘,让我接回家,但是我还是不知道为啥那么久没尿,那现在的情况就是我回家之后怎么办呀,它会不会还尿不出来
为保护用户隐私不显示图片/视频
邓薄鸿
执业兽医师
结晶什么都没有的话,它有可能就是应激导致的自发性膀胱炎,单纯应激的话回家就是控制情绪相对来说复发的概率较低,你给他药物正常使用上。排便问题不放心的话,你可以给他持续吃几天的润肠通便的药物的。正常猫咪不排尿一段时间没反应没事,但是不排尿还总去猫砂盆这种行为就是一种异常的。
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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