咨询描述:症状描述:多饮多食多尿,脱毛,皮肤病,腹部大,背脊骨瘦,发烧,刚绝育一个月
患病时长:大约一个月
医院检查:做了血常规,血糖很高,有炎症,b超做了,没有告知异常,医生认为是糖尿病并且意思库欣综合征
用药情况:目前还没有用药,打了***,之前有自行给猫用治皮肤病的药
问题大致一样,细节不同?
王曌
执业兽医师
什么时候绝育的?绝育前有没有做过相关检查?目前来看有没有黄疸?多饮多尿体重减轻有没有做血气?
9月初绝育的,没有做过检查,因为是田园猫,家里没有特别重视检查,黄疸和气血不太清楚,只是在医院验血和b超,血糖很高,没有腹水,腹部脂肪多,体重也没有减轻太多,她刚生完小猫才做了绝育,轻了大概一斤。
这个检查是临时做的,不能确保是不是进食,今天早晨又去验血,血糖降了一点点,体温也有降低,但还是很高。现在最主要还有皮肤病,肚子底下皮肤看着有点不大好,医生还怀疑是库欣,一直建议安乐。
王曌
执业兽医师
综合考虑,产后以及术后会导致肝脏问题的,且目前来看就是体温升高,肝脏指标高。血糖高。这种不论是糖尿病还是肾上腺皮质机能亢进都有的治,狗的话糖尿病是***依赖性型,猫的话不一定。一半几率吧。目前你可以给对症治疗。退热,消炎。不到万不得已别轻言放弃
退热和消炎医院都没提起,也没说肝脏问题,他们一直是专注降血糖。想请问降血糖是需要购买血糖仪每天注射***来降糖吗?这个病情稳定的可能大吗? 退热应该做些什么呢?有炎症是不是导致皮肤病的原因? 如果是库欣治疗的必要还大吗?
王曌
执业兽医师
后期如果想确诊库兴氏综合症可以给做ACTH刺激实验和****刺激实验来加以区分。
那我目前需要做的,最重要的是什么?降血糖吗?肝脏问题该怎么办?还有一个饮食上面需要注意什么,能正常给猫粮吗?
王曌
执业兽医师
就像我刚才说的,如果糖尿病的话,猫有可能是***依赖型的也有可能不是***依赖型的,你可以给买一个血糖仪每天测血糖,也可以尝试打***看有没有降血糖的效果。如果确诊库兴氏综合症,可以给用****
王曌
执业兽医师
退热用******,这是动物专用的解热镇痛抗炎药。抗感染用****,***,或者**联合用。还有促进肠道蠕动的,一定要让吃,可以给买皮肤病的处方粮。
血糖仪有推荐的吗?买了血糖仪这个***用量如何判断,如果***没有效果该怎么办?退热和抗炎的药可以一起吃吗?目前不去检测库欣可以吗,是不是后面也能看出来
王曌
执业兽医师
这个一般很多会选择人的,至于***用量都是刚开始一个单位,或者慢慢计算摸索正确用量,一天给测四五次的血糖。这个你可以找一个靠谱的医院帮忙。库兴氏综合症后期会在脖子还有腰两侧对称脱毛。
测血糖的位置在哪里呢?自己注射***会有风险吗,没有操作过。如果***降不了糖该怎么治疗?
王曌
执业兽医师
一般采血是耳缘静脉,这个在狗上好弄,猫上你可以去医院采血测。注射是在两侧腹壁。降不下来需要吃糖尿病处方粮,还有其他的药物,但是不确定有没有动物用药。比如中药的***。
血糖自己测不好操作吗?自己注射也不行吗?必须要到医院的吗? 目前可以***和其他药物同时用吗?皮肤病可以同时治吗?她应该是猫癣
王曌
执业兽医师
自己可以注射。也可以用皮肤病的药物。不冲突。需要准备葡萄糖,防止低血糖
皮肤病的处方粮是什么,在哪购买?如果用药的话怎么用,目前应该只是猫癣。
王曌
执业兽医师
宝贝家长你好,考虑宝贝猫癣的情况,我给宝贝开具了一个处方,你可以根据实际需求自行选择购买。
1、口服处方粮+外用的抗真菌药给宝贝
2、配合一下****+***可以快速重建和维护皮肤屏障
你可以点击查看详情按钮,进入处方页面查看药物使用说明。
其他需要注意的是,如果你发现疮结痂证明是在好转,是可以继续用药的,不要自己去撕扯痂皮,让它自然脱落。后续猫癣恢复期也会有很多皮屑,那是因为毛囊受损,猫咪毛发营养和水分不足,就会出现皮屑。
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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