咨询描述:症状描述及患病时长:
9月9日不明原因高烧,核磁、脊髓液检查,考虑类固醇反应性动脉炎9月13日至今,早晚体温检测正常、吃喝正常、拉便便正常、精神状态正常。
医院检查:
1、CRP小于1
2、血常规、生化见附件(红色字体为15天前结果)
用药情况:
1、***:
9月9日~9月15日: 每次3粒、每日2次
9月16日~9月22日: 每次3粒、每日1次
9月23日~10月5日: 每次1.5粒、每日1次;
10月6日~10月11日: 每次1粒、每日1次
10月12日~10月20日: 每次0.5粒、每日1次
10月21日至今:停用
2、***: 9月9日至今,每次3粒,每日1次.
3、****族: 9月9日至今,按说明书服用
4、****胶囊: 9月23日至今,每次4粒,每日2次
5、肝脏处方粮:
9月23日至10月20日,与普通粮一样一半混吃。
10月21日至今:全部吃肝脏处方粮
问题:
1、***已停用2周,对比2周前,GGT由10升到17,ALT由325降到201,这是有好转了还是没好转呢?保肝药要换吗?
2、一直吃肝脏粮,甘油三酯都由1.31升到1.57,是粮的问题吗?需要换粮吗?
3、甘油三酯指标高的厉害不?继续少吃多动就行还是需要吃药控制吗?
问题大致一样,细节不同?
于博
执业兽医师
好的,ALT代表的肝细胞漏出酶 ,一般是指肝脏损伤时候会升高,GGT代表队是胆汁淤积酶。甘油三酯也是有指向胆囊问题。所以肝脏损伤是有好转的。胆汁淤积酶一般进食较少,胆管堵塞会引起升高。
保肝药物不用换,可以加和熊去胆酸。
目前指标是不用必须使用肝脏处方粮的,正常粮食就可以的。
意思是喂少了吗?是不是要加量喂食?熊去胆酸具体是指哪个药?人吃的那个吗?用量怎样呀?
于博
执业兽医师
进食量少是一个原因,还要确定有没有胆囊问题。猫咪都是有自律性的进食,吃饱了就不会继续吃了,只要它的进食量和之前没有变化那应该和进食没有关系。
可以用这个药物饲喂 您可以根据实际需求选择在平台或者其他正规渠道购买即可
他是狗狗来的,进食是比以前少了,因为上次检查甘油三酯1.31,担心越来越胖,所以从每天300克减少到每天200克,这个月甘油三酯1.51反而还升了,这是喂食问题吗?吃人吃的*****片行吗?
于博
执业兽医师
不好意思,问诊的还有一个猫咪也是肝脏问题。A LT是因为进食少或者胆囊问题升高。甘油三脂是胆囊问题、肥胖会升高。所以推断是胆囊胆汁问题方面,所以先不用增加进食量,可以先饲喂舒缓胆汁淤积的这种药物。
熊取胆碱片您要饲喂的话就是一次一片 一天一次 但是平台和医生是不推荐使用人用药物的
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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