咨询描述:猫咪水喝得多,尿的也多,没有食欲,吃的少,消瘦明显,没有大便,去宠物医院检查,肌苷720,脂肪酶30.88,血清淀粉样蛋白A14.2,吃得少大约两三个月吧,最近十多天几乎不咋吃猫粮
问题大致一样,细节不同?
宗振平
执业兽医师
您好**主人,**检查看着是肾衰竭,看指标水平比较高,现在应该是四级肾衰竭,猫咪可能有一段时间了,现在就是输液打针看看指标能不能控制住,尽量把指标降一降,然后吃药吃处方粮维持。
目前宠物医院开的肾衰停和曼衰,未输液治疗,如果输液治疗,输什么药物?猫咪最近消瘦特别厉害,十天掉一斤,能恢复健康不?
宗振平
执业兽医师
一定要输液治疗,保护胃肠道,消炎,补液,调整代谢性酸中毒,纠正低血钾,一定要输液,这种情况吃药没有用,不输液猫咪肯定越来越严重。慢性肾衰竭的话只能维持了,肾脏功能恢复不了。
9月初开始呕吐,一开始是没消化的猫粮,后来有时是白色泡沫,有时是黄色的上面带有白色泡沫,9.28日开始喂食益生菌,喂了一周,**喂了四天,益生菌吃到第三天时不吐了,又维持治疗了四天,今天是因为猫咪三天未大便去的医院,化验结果肌酐高,宠医定为肝损伤,今天下午到现在猫咪撒了四泡尿,吃了15克伊纳宝主食猫条,七八粒猫粮,猫主动吃的,精神状态良好,还需要做啥检查?目前可以喂食羊奶粉不?用羊奶粉冲泡猫粮强制喂食可以不?处方猫粮建议吃哪种?如何保证猫咪的营养?猫咪血糖血压都不高,今天未抽血化验离子。
宗振平
执业兽医师
猫咪这个指标发病应该有一段时间了,这个应该是慢性肾衰竭,不是急性的,猫咪不是肝脏损伤是肾衰竭。
肾衰竭需要吃肾脏处方粮,像零食肉类都别喂了。猫咪只能喂肾脏处方粮,其他的都别喂。
猫咪注意输液可以做个血气,看看离子酸碱平衡。
我打错了,是肾损伤,但是未查出原因,所以只开了两种药,建议吃十天,然后复查。我所去的宠物医院没有处方猫粮,您可以建议一款,还需要哪种检查,明天我再换一家宠物医院去检查。猫粮可以直接换为肾脏处方猫粮喂食吗?
宗振平
执业兽医师
肾脏处方粮可以直接换,现在不吃也不行,指标太高了。这个不需要在查别的了,就找个专业的医院输液打针治疗。慢性肾衰竭和体质一直饮食习惯有关系,这个不好找原因。
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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