陈奕达
执业兽医师
你好,感谢信任,谢谢。狗狗出现肾上腺肿瘤问题,需要进一步诊断是否有转移。如果没有转移,可以考虑手术切除治疗,来帮助狗狗。
然后您有什么疑问或者需要,可以一同发送过来,我会一一为你解答。同时需要详细提供狗狗的病史以及症状,化验结果等进行分析。
医院说暂时每个月B超检查,长大就要手术,想了解手术风险和术后风险,另外切除后激素是不是就会紊乱,是不是一直要吃激素药?您的最佳治疗方案是什么
为保护用户隐私不显示图片/视频
陈奕达
执业兽医师
你好,手术风险主要就是肿瘤破裂,以及麻醉风险。
狗狗没有其它基础疾病的情况下,麻醉风险只有百分之几。
手术风险,主要看医生的手法以及是否有术中意外。
术后后遗症,可能会出现肾上腺机能减退问题,激素紊乱。如果出现这些问题,确实需要使用激素治疗。
以我的经验判断,也是观察,考虑手术。然后观察期间,可以给予狗狗口服一些宠物专用托消化瘤以及提高肿瘤抗性用药,帮助狗狗,观察效果如何。
您觉得从B超上看这个肿块是哪种情况具多,如果是恶性的,手术后生存几率大概是多少?现阶段有什么对肝肾影响小的药化肿块?饲养上现在是上午纽顿鱼肉味狗粮,晚上牛肉鸭肉猪心猪肾和少量胡萝卜西兰花熟自制,有没有影响肿块的饮食?谢谢
陈奕达
执业兽医师
你好,单纯影像结果,无法判断肿物或者肿瘤的性质。如果进一步诊断,需要进行超声诱导穿刺,进行活检。如果是肾上腺上生长的,那么肾上腺肿瘤的概率比较大一些。
术后生存概率在40-70%之所以概率跨度比较大,是因为问题暂时没有得到进一步确诊。
没有影响肿物的食物。
然后这边根据狗狗现在的疾病情况,我给宝贝开个处方。供你采纳参考一下。以备不时之需。
药物具体用法用量已经帮你计算妥当,可以点击查看详情按钮,进入处方页面查看。
处方里面的
1. ***,宠物专用广谱消炎,控制局部炎症感染问题。
2. ******,宠物专用活血化瘀,托消化瘤用药,缓解肿物的生长速度。(发情期,妊娠期禁用)
3. ***,提高免疫力,能够起到增加肿瘤抗性的效果。
可以根据需求自行选择购买。
宝贝疾病期间,注意修养,不能剧烈运动以及惊吓。然后注意饮食新鲜度,不要过于油腻。同时需要细心观察肿物的大小变化。
基本上确定是肿瘤了吗?就是不好判断良性和恶性?穿刺操作难吗?我们这里医生没提穿刺。三种药都要吃吗?第一种是消炎药,对肿瘤有效吗?
陈奕达
执业兽医师
你好,肿瘤的概率大。良性恶性,只能活检检查判断,别无它法。
穿刺取样还是有一些难度的。
上述用药属于一套的,最好还是配合使用,效果最佳。
消炎药物对肿瘤没有效果,作用是控制住,预防炎症出现的问题。
陈奕达
执业兽医师
你好,如果运气好,肿物可能会逐渐变小。可以先按照两周时间服用,观察一下效果如何。
我们这边医生没给开任何药,说吃药没有用,只能隔一个月做B超看,如果太大再开。这个一套药对肝肾和肠胃有刺激吗?我家狗胃不太好
陈奕达
执业兽医师
你好,没有过敏情况下,上述药物不会对肝脏肾脏,消化道有太大负荷。
有条件情况下,并且已经判断有肿物,我认为还是需要先用药,来帮助狗狗的。
陈奕达
执业兽医师
非常感谢对蘑菇宠医的信任,祝爱宠早日康复!然后可以关注我,或者后续宝贝有其它问题,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。
希望我的建议可以帮到宝贝,如果爱宠平时有什么养护小问题也可以通过蘑菇宠医小程序搜索了解哦~“
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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