狗狗先天扩心病,近期检查肾脏指标尿蛋白高
833次阅读
咨询描述:拉布拉多公犬,一岁时查出先天扩心病,已坚持服药4年(**苯丹,**,***,***,*****,***),目前心脏状态稳定,近期检查发现肾脏指标尿蛋白高,想咨询用药
问题大致一样,细节不同?
吴瑞珽
执业兽医师
好的,您发的几张化验单子我都已经看到了。但是小家伙对于扩张性心肌病用药成分太多。其实我们可以用一些**苯丹就可以。而且给他经常用***也就是**,这样会加重他肾脏的负担。因为他会一直排尿,一直排尿。所以建议不要再给他用了。现在不光光是他的尿蛋白高。而是他的肾脏指标,肌酐,尿素氮都很高。(您可以看生化检查的那一张单子。)这种情况下说明他的肾脏功能在开始衰退。因为肾脏的损伤往往是不可逆的。所以即便是肾脏的功能剩到20%,它也还能正常工作。但是肾脏指标出现升高。说明肾脏出现了比较大的问题。这种可能单纯性的吃药已经不行了。做完化验应该抓紧时间给他输液代谢一段时间。后期咱们可以选择给他用肾脏的保护剂去维持。首先要先输液代谢一段时间。药物的话,我这边给您推荐一下。
您好 那您的意思是就是用服用**苯丹就可以 其他的药都不用了吗?
吴瑞珽
执业兽医师
这个需要根据他的具体情况。适当的要把心脏上的用药减下来。目前用的药物很多是重复的,用的太多了。看慢慢的把药减下去,对狗狗有没有影响?没有影响,可以把药的种类减到只剩一到两种就可以。因为吃的药物太多的话,对狗的肾脏负担是比较大的。
根据化验单上看肾脏问题是不是很严重?吃了这些药可以修复一些缓解一些吗
吴瑞珽
执业兽医师
对的,现在他的肾脏上的指标不是特别好。我给您开的这些药物是等输液完调理的差不多之后,后期维持用的。并不是说现在吃这个药就能起作用。现在必须要通过输液代谢调理,至少一周左右至上这个指标有可能才会慢慢下来。 单纯的吃这个药,想恢复过来可能性不是太大。
他是一岁的时候,有三四次昏厥,一激动就昏厥瘫倒,不会动,也不会叫,有几次很危险,后来一直给他吃的这些药,麻烦您给看看 我们应该怎么减量合适 早上:**苯丹3粒,***1粒,***4粒,***5粒,鱼油1粒,***** 1粒。下午:**苯丹2粒,** 1粒半,***1粒,***4粒,鱼油1粒。
吴瑞珽
执业兽医师
您好,您的用药习惯我已经看到了。这个我是没办法给您特别详细的建议。因为这是有个体差异的。每个狗狗用药情况不同,它对药物的耐药性也是不同的。如果说按照我的理解去给他擅自的改变药量,可能会对他的心脏治疗起到影响。 因为这个需要实时监测。至少需要一到两个月,慢慢观察,慢慢把药量减下来,看具体情况。但是像您这边给他用肤塞米。量肯定是太大了。长期这样用下去肯定会造成他肾脏损伤。这个药物主要是加速排尿。并不是用来长期去吃的。这是一个很大的误区。如果想要把药量去改一下。必须要在线下医院。每天实时监测。根据减药量的不同,看狗狗的各个指标是否正常。通过很长一段的时间,循序渐进的把药量改下去。随着每天的状态不同,适当的调整剂量即可。
好的,那我们先输液调理,请问您输液调理的话,用哪些药,每次多少?输液几天?
吴瑞珽
执业兽医师
这个根据他的情况和体重在线下医院做详细的调整即可。线上咨询只是给您一个具体的方向和建议。而实质性的治疗需要线下根据狗狗的具体情况和看到狗狗的各个指标。每天都是需要变化的。
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
{"570177":{"id":570177,"case_id":63343,"user_id":1511408,"to_user_id":2438944,"type":3,"content":"好的,您发的几张化验单子我都已经看到了。但是小家伙对于扩张性心肌病用药成分太多。其实我们可以用一些**苯丹就可以。而且给他经常用***也就是**,这样会加重他肾脏的负担。因为他会一直排尿,一直排尿。所以建议不要再给他用了。现在不光光是他的尿蛋白高。而是他的肾脏指标,肌酐,尿素氮都很高。(您可以看生化检查的那一张单子。)这种情况下说明他的肾脏功能在开始衰退。因为肾脏的损伤往往是不可逆的。所以即便是肾脏的功能剩到20%,它也还能正常工作。但是肾脏指标出现升高。说明肾脏出现了比较大的问题。这种可能单纯性的吃药已经不行了。做完化验应该抓紧时间给他输液代谢一段时间。后期咱们可以选择给他用肾脏的保护剂去维持。首先要先输液代谢一段时间。药物的话,我这边给您推荐一下。","media":{"images":{},"videos":{},"business_params":{"prescription_id":157165}},"is_doctor":1,"status":1,"created_at":"2023-10-29 14:56:35","show_rx":true,"rx_info":{"id":157165,"rx_no":2.02310291456325e+24,"user_id":2438944,"doctor_user_id":1511408,"is_independent":0,"case_id":3188106,"pet_info":{"pet_id":412997,"pet_name":"拉布拉多","pet_nickname":"豆豆","pet_gender":1,"pet_birth":"5-2","pet_weight":31,"pet_vaccination_status":1,"pet_in_insect_repellent_status":1,"pet_out_insect_repellent_status":1,"pet_age_format":"5岁2个月"},"diagnose":"肾脏","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2023-10-29 14:56:32","updated_at":"2023-10-29 14:56:35","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":124750,"prescription_id":157165,"doctor_user_id":1511408,"product_id":773,"product_sku_id":815,"dose":2,"dose_unit":"片","use_method":"口服","frequency":"每天1次","days":7,"number":1,"remark":"","created_at":"2023-10-29 14:56:32","updated_at":"2023-10-29 14:56:32","product_info":{"id":773,"hash_id":"7REJ0W4AzngPBVAK","class_ids":{"0":1,"1":2},"category_ids":{"0":166},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":195,"sell_point":"肾康宠物营养补充剂","title":"摩登狗肾康宠物营养补充剂 50g\/瓶","recommend_reason":{"0":"用于防治犬猫肾衰","1":"改善犬猫肾脏功能,清除附磷、尿毒素等有害物质","2":"降低胆固醇、防止贫血、改善食欲、增强体质等"},"baike_guide_text":"","baike_article_hash_id":"","advword":"肾衰竭,胆固醇,贫血,改善食欲,尿毒症","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"50g"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/07\/202d025a70a9c3a586fbfbfa7e213a87.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":118,"max_price":118,"sale_count":32,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-20 15:19:21","updated_at":"2024-11-18 17:26:08","ins":{"id":195,"hash_id":"3a0E6Qpj3Z42b9Rk","class_ids":"[1,2]","title":"肾康宠物营养补充剂","common_name":"宠物营养补充剂","trade_name":"肾康","en_name":"Nephrowell","brand_name":"摩登狗","is_prescription":0,"cover":"\/drug\/2024\/07\/92e0e5e84ed312b18e26b0475b88a61d.jpg","specification":"50g\/瓶","reference_price":180,"component":"聚氨基葡萄糖、碳酸钙、乳糖","indication":"主要用于治疗和预防犬猫肾衰,针对犬猫的肾衰有很好的效果。\n可以改善犬猫肾脏功能,清除附磷、尿毒素等有害物质。从而降低小肠对这些物质的吸收,降低体内磷水平,起到保护肾脏,恢复肾功能的作用。此外,还能降低胆固醇,防止贫血,改善食欲,增强体质等作用。","usage_dosage":"按照犬猫的体重,每天2次。\n每5公斤体重用1克(约1勺),每天2次,可单独给药,也可与食物混在一起饲喂,与干食物混饲时,可以放少许水将食物弄湿后与本品混合,本品可以长期饲喂","contraindication":"","adverse_reaction":"","attention":"请勿让儿童触摸本品。","interaction":"","approval_no":"冀饲预(2019)35004","storage_method":"温室,密闭保存。","validity":"2年","manufacturer":"秦皇带莱银生物科技有限公司","status":1,"created_at":"2021-12-22 18:20:51","updated_at":"2024-07-04 14:07:38"}},"product_sku_info":{"id":815,"product_id":773,"title":"摩登狗肾康宠物营养补充剂 50g\/瓶","advword":null,"price":118,"market_price":160,"cost_price":0,"stock":68,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50g"}},"cover":null,"thumb":"","sale_count":32,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-20 15:19:21","updated_at":"2024-11-18 17:08:33"}},"1":{"id":124751,"prescription_id":157165,"doctor_user_id":1511408,"product_id":772,"product_sku_id":814,"dose":3,"dose_unit":"片","use_method":"口服","frequency":"每天1次","days":7,"number":1,"remark":"","created_at":"2023-10-29 14:56:32","updated_at":"2023-10-29 14:56:32","product_info":{"id":772,"hash_id":"VNA3DJxLP2xMGaOw","class_ids":{"0":1,"1":2},"category_ids":{"0":166},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":194,"sell_point":"肾透阿尔法酮酸片","title":"摩登狗肾透阿尔法酮酸片 60粒\/瓶","recommend_reason":{"0":"本产品为肾脏高效清洗剂,减轻尿毒症的症状","1":"确保宠物在患病期间的营养摄入,减少代谢并发症","2":"减轻尿蛋白,纠正钙磷代谢紊乱,使碳水化合物代谢正常"},"baike_guide_text":"","baike_article_hash_id":"","advword":"肾衰,肾衰竭,尿毒症,内分泌失调","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"60粒盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/3ce928077874cba7681a492a12965bbc.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":498,"max_price":498,"sale_count":13,"tags":"","sort":0,"status":0,"delete_status":0,"created_at":"2021-12-20 15:10:47","updated_at":"2024-09-30 10:27:28","ins":{"id":194,"hash_id":"ay8LblpOnPx9EdBq","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"肾透阿尔法酮酸片","common_name":"阿尔法酮酸片","trade_name":"肾透","en_name":"Nephrocure for dog","brand_name":"摩登狗","is_prescription":0,"cover":"\/drug\/2021\/12\/5743659f51b45999c7cfa7e214e28ee7.jpeg","specification":"60粒\/瓶","reference_price":780,"component":"阿尔法酮酸","indication":"本产品为肾脏高效清洗剂。减轻尿毒症的症状,保护现有正常的肾功能,延缓肾脏疾病的恶化。确保宠物在患病期间的营养摄入,减少肾功能不全导致的代谢并发症,防止机体蛋白质降解。减轻尿蛋白,纠正钙磷代谢紊乱,使碳水化合物代谢正常,纠正脂质代谢紊乱,调理内分泌失调。","usage_dosage":"犬猫口服,1日3次,每10kg体重1-2片,用餐期间喂服,必要时遵医嘱。","contraindication":"高血钙凝和氨基酸代谢障凝病。","adverse_reaction":"","attention":"","interaction":"","approval_no":"","storage_method":"25度以下,干燥保存","validity":"3年","manufacturer":"摩登狗(美国)宠物用品有限公司","status":1,"created_at":"2021-12-22 18:18:51","updated_at":"2021-12-22 18:18:51"}},"product_sku_info":{"id":814,"product_id":772,"title":"摩登狗肾透阿尔法酮酸片 60粒\/瓶","advword":null,"price":498,"market_price":780,"cost_price":0,"stock":87,"stock_alarm":100,"spec_data":{"1":{"name":"规格","option":"60粒盒装"}},"cover":null,"thumb":"","sale_count":13,"status":0,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-20 15:10:47","updated_at":"2024-09-30 10:27:28"}}},"drug_data_bak":{"0":{"id":124750,"prescription_id":157165,"doctor_user_id":1511408,"product_id":773,"product_sku_id":815,"dose":2,"dose_unit":"片","use_method":"口服","frequency":"每天1次","days":7,"number":1,"remark":"","created_at":"2023-10-29 14:56:32","updated_at":"2023-10-29 14:56:32","product_info":{"id":773,"hash_id":"7REJ0W4AzngPBVAK","class_ids":{"0":1,"1":2},"category_ids":{"0":166},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":195,"sell_point":"肾康宠物营养补充剂","title":"摩登狗肾康宠物营养补充剂 50g\/瓶","recommend_reason":{"0":"用于防治犬猫肾衰","1":"改善犬猫肾脏功能,清除附磷、尿毒素等有害物质","2":"降低胆固醇、防止贫血、改善食欲、增强体质等"},"baike_guide_text":"","baike_article_hash_id":"","advword":"肾衰竭,胆固醇,贫血,改善食欲,尿毒症","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"50g"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/07\/202d025a70a9c3a586fbfbfa7e213a87.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":118,"max_price":118,"sale_count":32,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-20 15:19:21","updated_at":"2024-11-18 17:26:08","ins":{"id":195,"hash_id":"3a0E6Qpj3Z42b9Rk","class_ids":"[1,2]","title":"肾康宠物营养补充剂","common_name":"宠物营养补充剂","trade_name":"肾康","en_name":"Nephrowell","brand_name":"摩登狗","is_prescription":0,"cover":"\/drug\/2024\/07\/92e0e5e84ed312b18e26b0475b88a61d.jpg","specification":"50g\/瓶","reference_price":180,"component":"聚氨基葡萄糖、碳酸钙、乳糖","indication":"主要用于治疗和预防犬猫肾衰,针对犬猫的肾衰有很好的效果。\n可以改善犬猫肾脏功能,清除附磷、尿毒素等有害物质。从而降低小肠对这些物质的吸收,降低体内磷水平,起到保护肾脏,恢复肾功能的作用。此外,还能降低胆固醇,防止贫血,改善食欲,增强体质等作用。","usage_dosage":"按照犬猫的体重,每天2次。\n每5公斤体重用1克(约1勺),每天2次,可单独给药,也可与食物混在一起饲喂,与干食物混饲时,可以放少许水将食物弄湿后与本品混合,本品可以长期饲喂","contraindication":"","adverse_reaction":"","attention":"请勿让儿童触摸本品。","interaction":"","approval_no":"冀饲预(2019)35004","storage_method":"温室,密闭保存。","validity":"2年","manufacturer":"秦皇带莱银生物科技有限公司","status":1,"created_at":"2021-12-22 18:20:51","updated_at":"2024-07-04 14:07:38"}},"product_sku_info":{"id":815,"product_id":773,"title":"摩登狗肾康宠物营养补充剂 50g\/瓶","advword":null,"price":118,"market_price":160,"cost_price":0,"stock":68,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50g"}},"cover":null,"thumb":"","sale_count":32,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-20 15:19:21","updated_at":"2024-11-18 17:08:33"}},"1":{"id":124751,"prescription_id":157165,"doctor_user_id":1511408,"product_id":772,"product_sku_id":814,"dose":3,"dose_unit":"片","use_method":"口服","frequency":"每天1次","days":7,"number":1,"remark":"","created_at":"2023-10-29 14:56:32","updated_at":"2023-10-29 14:56:32","product_info":{"id":772,"hash_id":"VNA3DJxLP2xMGaOw","class_ids":{"0":1,"1":2},"category_ids":{"0":166},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":194,"sell_point":"肾透阿尔法酮酸片","title":"摩登狗肾透阿尔法酮酸片 60粒\/瓶","recommend_reason":{"0":"本产品为肾脏高效清洗剂,减轻尿毒症的症状","1":"确保宠物在患病期间的营养摄入,减少代谢并发症","2":"减轻尿蛋白,纠正钙磷代谢紊乱,使碳水化合物代谢正常"},"baike_guide_text":"","baike_article_hash_id":"","advword":"肾衰,肾衰竭,尿毒症,内分泌失调","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"60粒盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/3ce928077874cba7681a492a12965bbc.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":498,"max_price":498,"sale_count":13,"tags":"","sort":0,"status":0,"delete_status":0,"created_at":"2021-12-20 15:10:47","updated_at":"2024-09-30 10:27:28","ins":{"id":194,"hash_id":"ay8LblpOnPx9EdBq","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"肾透阿尔法酮酸片","common_name":"阿尔法酮酸片","trade_name":"肾透","en_name":"Nephrocure for dog","brand_name":"摩登狗","is_prescription":0,"cover":"\/drug\/2021\/12\/5743659f51b45999c7cfa7e214e28ee7.jpeg","specification":"60粒\/瓶","reference_price":780,"component":"阿尔法酮酸","indication":"本产品为肾脏高效清洗剂。减轻尿毒症的症状,保护现有正常的肾功能,延缓肾脏疾病的恶化。确保宠物在患病期间的营养摄入,减少肾功能不全导致的代谢并发症,防止机体蛋白质降解。减轻尿蛋白,纠正钙磷代谢紊乱,使碳水化合物代谢正常,纠正脂质代谢紊乱,调理内分泌失调。","usage_dosage":"犬猫口服,1日3次,每10kg体重1-2片,用餐期间喂服,必要时遵医嘱。","contraindication":"高血钙凝和氨基酸代谢障凝病。","adverse_reaction":"","attention":"","interaction":"","approval_no":"","storage_method":"25度以下,干燥保存","validity":"3年","manufacturer":"摩登狗(美国)宠物用品有限公司","status":1,"created_at":"2021-12-22 18:18:51","updated_at":"2021-12-22 18:18:51"}},"product_sku_info":{"id":814,"product_id":772,"title":"摩登狗肾透阿尔法酮酸片 60粒\/瓶","advword":null,"price":498,"market_price":780,"cost_price":0,"stock":87,"stock_alarm":100,"spec_data":{"1":{"name":"规格","option":"60粒盒装"}},"cover":null,"thumb":"","sale_count":13,"status":0,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-20 15:10:47","updated_at":"2024-09-30 10:27:28"}}}}}}
微信扫一扫
立即问宠医