咨询描述:魏医生,你好
有一只流浪猫送进去绝育,舌头上长了东西,请您看一下图片,是什么问题,严重不?需要治疗吗?如果需要,帮忙看下治疗费用和周期大概会是什么情况?
谢谢!
问题大致一样,细节不同?
魏新立
执业兽医师
猫咪的家长您好,主要考虑舌头表面之前是不是有破溃引起的炎性增生问题,当然也要考虑会不会有杯状病毒感染引起的,因为看口腔两边还是有明显的分泌物存在,所以最好能给宝贝排查一下,看有没有杯状病毒的感染。
可以让医生在麻醉的时候对凸起的肿块采样做细胞学的检查,看一下是炎性增生反应还是有没有可能肿瘤的情况,当然,最准确的诊断方法是切除后做病理学分析,切除以后可以对舌头表面进行缝合,这样恢复的会更快一些。
魏医生你好,但是绝育手术昨天中午已经做完了,医院昨晚上才发照片过来。那如果没有做切片,是不是需要做二次麻醉采样?如果是炎性增生反应是不是问题不大,让医院喂消炎药就行吗?如果做切除会影响它这几天进食吗?还是输液代替,肿瘤的话是不是费用和治疗周期比较高?
魏新立
执业兽医师
对的,如果需要采样就需要第二次的麻醉,如果是炎性增生的问题,一般就问题不大的,对的,让医院可以用抗生素,配合抗菌消炎口腔喷剂,应该就会有很好的效果的。如果做病理学切片,肯定会有疼痛的症状,多少会影响宝贝的食欲的。
肿瘤的周期会比较长,治疗,化疗,以及观察预后情况。
是********钾吗?吃一周?每天吃多少剂量?要吃几次?**霉素不太适合是吧?我想算一下要买多少药,买药带过去医院。另外口腔喷剂是哪一种,能开个处方吗?
魏新立
执业兽医师
可以用********钾,12.5-25mg/kg,一天口服两次,连用一周时间。
**霉素更多的是针对呼吸道感染的。可以给您推荐处方,您可以参考了解一下。
魏医生,你好,刚才去了医院,大致询问了下,说先测试杯状什么的病毒,如果确认有病毒的话,治疗2周,如果治疗没有效果,再麻醉进行切除手术,再住院休养2周。他们没有提要做病理切片,也没说肿瘤的可能性。他们这自动默认不是肿瘤直接切除靠谱吗?如果像他们说的这样操作大概切除的手术费和其它费用大概是多少? 另外问一下,还有一种选择行不行,如果测一下杯状什么的确诊有病毒,是不是可以大概率确认是杯状引起的溃疡面炎症增生?那医院不做任何治疗,放归后我给它喂2周的****,但是我喷不了口腔喷剂,这样不知道可不可行。这只猫平时吃猫粮是没有问题的,就是不知道如果只吃消炎药,增生面不能消除的话,对它健康问题有影响吗?
魏新立
执业兽医师
正常如果有类似的肿块,最好是能切除后做病理组织学检查,看会不会有肿瘤的情况,毕竟越早做判断,越早治疗,对宝贝的影响会越低。
麻醉切除的费用通常会在1000元以内,住院费不同的医院可能不同,很多都是50元左右一天。
是的,如果有杯状病毒的感染,基本上可以确定是这个因素引起的炎性增生,只需要控制症状就可以的,增生的问题就会有改善的。
如果没有杯状病毒,只是口腔内炎症的问题,用抗生素肯定会有很好的帮助的,就是口服****也会有帮助的,增生可能不会完全消除,只要没有明显的炎症问题,就不需要太担心的。
好的,魏医生,(1)目前我就先让医院做杯状检测,如果确认有杯状,除了消炎药,还需要喂***韦吗?如需要,请您告诉一下一天喂几次,每次多少剂量,也是一周吗?如果没有杯状,就是喂1周消炎药如您所说。 (2)想问下这个炎症以后容易复发吗?增生的部位要是发炎,吃猫粮的时候会有痛感吗?如果炎症消除吃猫粮只会有口腔异物感但无痛感?(3)平时看它吃猫粮基本一次能吃40克左右,暂时没有发现影响吃饭,所以不知道以后怎么去做观测才能知道它发炎了?(4)我看它这个增生面积还挺大的,如果将来考虑手术,这个对手术的技术要求高吗?如果手术效果不理想,会有什么影响吗?(5)如果按医院说的先药物试验2周再选择麻醉手术再住院2周,那这只猫在病房要呆起码一个月吧?目前这家医院做TNR的猫太多了,他们说没法做到传染病精细化管理,那因为应激,绝育手术再口腔手术影响进食,免疫力下降导致别的传染病如猫瘟等概率高吗?我在想是不是这次就先绝育做了,以后有机会再带它去另外的地方治疗,但是也要面临重新抓捕的麻烦事,想听听你的意见,谢谢!
魏新立
执业兽医师
1.除了用消炎药以外,可以使用***韦的,正常一天使用两次,40mg每公斤体重,连续使用两周左右的时间。
2.如果是炎性的增生问题,控制住感染以后不会很容易复发的,但凸起的位置吃猫粮的时候应该会有疼痛的症状。是的,如果严重完全控制住,只是会有异物感,但不会有痛感。
3.可以监测血液学的指标,看有没有炎症指标的升高。
4.一般手术的难度也不是很大,做切除,然后缝合,通常缝合用的也是可吸收的缝合线。手术效果不理想,就担心有局部溃烂的情况。
5.如果这个猫咪疫苗免疫不是很好,确实在医院期间会得传染病的风险。也可以考虑先把手术做了,不需要在医院停留太长的时间。因为在医院待的这段时间,一是要承担住院费用,而是要承担可能会有传染病的风险。
好的,您说的是先把绝育手术做了就赶紧接回来放归,是吧?听医院说最近猫瘟病毒变异了?猫死亡率很高?而且说没有呕吐拉稀这些症状,还观测不到,不知道真假 。另外问最后一个问题,您说也有可能是舌面破溃导致的炎症增生,这个破溃可能是尖硬的食物原因导致的吗?比如大的很硬的小鱼干,虾皮,鱼刺什么的?或者还有其它什么原因?谢谢!
魏新立
执业兽医师
是的,做了绝育,不要待太久,就可以接出院,放归。
目前还没有遇到说猫瘟变异毒珠的。
有可能的,比较锋利的骨头碎片,划伤引起的,也是有可能的。或者猫咪舔到锋利的刀片,我在临床上也有遇到过的。
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
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