狗狗脖子左右两侧鼓起鸭蛋大小的包发烧
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咨询描述:想向您请教一些问题。
我家是柯基狗,有大约5岁了,前段时间突然发现它脖子左右两侧鼓起鸭蛋大小的包,有点发烧,蔫吧,不爱吃东西。打针第二天就精神了,吃东西也还行,打7天**,下去一大半,眼睛就开始流泪,睁不开,我总怕是打针的副作用,就停药一周,结果包再次肿大,又打了8天**了,现在包小了很多,一侧只有鹌鹑蛋那么大,另一侧更小了。前天去检查,穿刺,彩超,大生化各项检查都做了,也没确诊是啥病,医生建议先做化疗,考虑到没确诊,最主要化疗太伤身体。想叫陈医生看看,通过这些化验单您能帮忙诊断一下吗,您说有必要化疗吗?🙏🙏🙏拜托了,真的很上火
问题大致一样,细节不同?
孙厚福
执业兽医师
您好,我已收到你的咨询,为了更好诊治,我需要近一步了解宝贝情况。
1.目前细胞学提示淋巴瘤如果暂时不考虑化疗可以先口服增加免疫力药物看看是否有反复
2.同时可以看看牙齿是否有问题
3.确诊可以取样病理切片同时免疫组化
4.目前血常规提示轻度炎症,生化有肝损伤可以配合保肝药物
除此之外,宝贝目前的症状来讲,希望主人你仔细提供给我。方便我更好的分析宝贝的病情,并给出更准确的诊断和保守的治疗建议。感谢你的配合。
请问有必要化疗吗?化疗会很伤身体吧?如果服用增强抵抗力药物的话,请问吃什么药好?
狗从小吃东西就费劲,我家喂干粮,每次看它吃都像咬不动似的,发病前几天吃过一次骨头,也不知道是不是吃了骨头就开始发病的,因为没注意,等发现时包就鸭蛋那么大了。
取样病例是不是得做手术啊,我们这里的医生说做手术才能知道是否恶性,轻度肝损伤要吃什么药?
**可以继续打吗?用加***药吗?
孙厚福
执业兽医师
1.如果淋巴瘤建议化疗治疗,化疗会有副作用但是会延长生存周期
2.可以配合口服***提高免疫力
3.取病理需要手术取样
4.肝损伤可以配合口服***
5.**可以再用三天左右,***药物目前不推荐使用的
关键现在没确定是良性恶性,如果是良性不化疗是不是也会好呢?总是抱着侥幸心理,觉得应该不是恶性吧。
如果选择化疗很快肿瘤消失了也要把19周化疗都做完是吧?如果以后每半年做两次,这样要坚持几年呢?
肿瘤很快消失是不是就能确定是良性呢,请问如果是良性有必要做19周化疗吗?
明天去检查牙齿,那如果牙齿有问题是不是可能由牙齿引起的淋巴瘤?治好了牙齿是不是淋巴瘤就能好呢?
谢谢🙏
孙厚福
执业兽医师
1.淋巴瘤就是恶性肿瘤,如果良性肿瘤不需要化疗,但是目前细胞学提示淋巴瘤可能性很大
2.淋巴瘤治疗方案不同,建议化疗完整周期,目前两个最重要的预后因素是免疫分型和WHO亚期。对于大多数淋巴瘤患犬,基于CHOP的化疗方案可以诱导高达80-90%临床缓解率,中位存活时间大约为12个月,其中25%患犬存活2年
3.良性肿瘤不需要化疗的
4.如果牙根感染严重也会引起淋巴结肿大,可以做一下牙齿检查看一下
谢谢,听懂了,
做手术后不管是哪个型的都得化疗是吧,所以没有必要做手术,就直接化疗吧,您说对吗?听说要给狗补充营养,甘油三酯高不能吃肉类吧,能吃鸡蛋吗
孙厚福
执业兽医师
是的手术是取样之后也是需要化疗,甘油三酯偏高避免高脂肪食物,可以给鸡胸肉同时鸡蛋建议吃少量。
孙厚福
执业兽医师
家长你好,考虑宝贝的情况,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***早晚各一次
2.保肝药物早晚各一粒
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。
孙厚福
执业兽医师
记得好评支持一下🤝🤝🤝感谢
感谢您对蘑菇宠医的信任,如果我的回答能够帮助到你,请你在咨询结束后留下5星评论。
后续宠物有其它问题,你可以到“蘑菇宠医”官方微信公众号找到我的医生继续向我提问。
谢谢你的支持和鼓励,祝你的爱宠早日康复!
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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