咨询描述:5岁的英短公猫,已绝育,体重6.3公斤,今年4月检查心超心肌肥厚,吃了几个月***,现在***断了2个月左右,昨天去复查,说左心房边上肥厚1.7,建议药物治疗,请医生给出建议
问题大致一样,细节不同?
曹元钊
执业兽医师
您好,请把这个猫的x光 BNP以及心脏超声的所有化验结果发给我,他现在呼吸情况怎么样?精神食欲怎么样
我就想知道接下来您觉得該如何治疗,请给出建议,谢谢
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曹元钊
执业兽医师
如果是这样 我觉得目前还好,虽然心室壁比较厚但是整体收缩功能正常,并没有出现明显的功能异常
目前来说 给点营养心肌的就可以了 不需要其他的药物,但是因为病情会有进展,所以可以同时给点低剂量的利尿剂减轻心脏的后负荷。请问猫咪目前精神食欲怎么样
目前吃东西和排便正常,无明显异常症状,甚至还天天跟家里小猫打架精神挺好,那么您觉得我继续给他吃***可以吗,另外您说的利尿剂可否开具处方我想开点药,谢谢
为保护用户隐私不显示图片/视频
曹元钊
执业兽医师
肥厚性心肌病理论上没有什么药物可以逆转,但是可以营养心肌,所以你之前的药物是可以继续使用的,另外呢,***是这种的剂量是一天一次,每次5毫克,先作为初期使用。
好的谢谢医生,我昨天去当地宠物医院看,他说要吃两种,****类药物,和帮助增强心肌收缩的药物,要花费一个月1-2k,而且要吃终身,我觉得我们这边宠物医生水平不一定,所以想再您这边再问问
曹元钊
执业兽医师
增强心肌收缩的目前我不建议使用 ****这个药物是非常便宜的 确实后期应该使用的,但是还可以再晚一些。每两个月要做一次检查。心超检查是非常个体化的,一个实验医生在测量的时候稍微一个截面没有打的特别好,可能就会测不太准。所以这是我问你为什么一直问你他的精神食欲的问题,只要精神食欲良好,目前来说还好。如果没有呼吸的异常,先用点药维持维持,特别早的用药并不会有帮助的。
好的谢谢,那么您开的这个药我们要吃多久,或者说我们边吃再边复查,再对症用药是嘛
曹元钊
执业兽医师
这个药是不管在任何阶段,或者说从现在开始到以后最后的阶段,这个药你都是要吃的,只是尽量会根据化验结果稍作调整,定期复查,每几个月做一次心脏检查。
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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