咨询描述:你好,曹医生。我们人在国外,养了一只布偶猫,上个礼拜一突然他几分钟内一直去猫砂盆,然后没尿,我们带去诊所结果蹲一遍尿了一点血,之后医生给他打了两针开了一些药,打了一针美洛昔康,一针康卫宁,和一个Cystopro叫猫狗膀胱药,好了一个礼拜之后,今天又一直尿血,几分钟去一次,我们又带他去拍B超,医生说有结沙结石,但是X光没拍到结石结沙,开了两种药,一种美洛昔康,一种哌唑嗪药,我们已经花了很多钱,医生说再没好转就要做手术,到家从下午到现在还是一直在尿血,一直去厕所,可是这边手术很贵很贵,我们还是留学生没那么多钱,想问下您经验那么丰富,我们需要怎么办,或者买什么药?我可以小红书上找一下有没有路人可以帮忙带过来我这边。 万分感谢。
问题大致一样,细节不同?
曹航
执业兽医师
首先这个公猫出现这种症状,67%的情况都是因为应激导致的特发性的膀胱炎,23%是因为结石结晶,1%是因为炎症
根据你做的这个B超情况,一般就是因为这个憋尿导致的结晶,然后是因为特发性的膀胱炎导致 以前的处置方案就是口服止疼的情绪舒缓的和修复粘膜的药物,如果说膀胱里还有很多的尿液的话,就要把尿管给它留置在身上
如果说一个月内频繁的发作四五次的话,那可能要考虑到尿道改造这个手术,但是现在目前这种情况可能要给他尿管留置,然后给他输液,配合口服药或者说单纯的口服药
曹航
执业兽医师
1.主要的治疗方案就是情绪舒缓,配合修复粘膜的和止疼的药物,我不确定你那边能买到什么类型的 但是在国内的话,一般就是加巴喷丁配合优泌可配合奥泌舒,同时输液或者小针止血,然后可以给一些抗生素,也可以不用给
2.同时要吃一些泌尿道的处方粮,比如说皇家的 配合处方罐头
我们今天也买了处方罐头,就是皇家的。之前我们家的狗一直在围栏里,我们放出来后一个礼拜猫就这样了,我觉得他也有可能应激,但是他们都在一起生活一年多了,之前都不放出来,可能有时候狗压着他。请问分别要买什么药?我们网上去买,我们去买了叫路人帮忙带过来。请问需要注意什么,他也不经常喝水。
曹航
执业兽医师
高度怀疑是受到惊吓导致的这种情况,可以用你的那些药物配合上这两个
曹航
执业兽医师
主要就是减少了应激,让他多喝水 然后你这个狗最好还是能放回到原来的位置 再有就是可以给他买一个自动饮水机 吃处方粮刺激他多喝水
好的,明白。请问一下抗生素,消炎药,消石那些药分别都是什么我需要的,我想一次买了。
曹航
执业兽医师
1.抗生素(消炎药)速诺就是,但是你给他扎了康卫宁(这个是长效抗生素,一针能管7~14天),相当于过了这个期限的话,就可以口服
2.优泌可是修复黏膜,化结晶
3.然后你的美洛昔康是止疼的
4.哌唑嗪。主要是促进排尿,促对功能性尿道阻塞,有一定帮助
5.另一个是普乐特新的,如果用完这个之后的话,可以换成优泌可或者继续用这个,和这个优泌可作用是一样的
你好,曹医生。请问需要买多少合适?因为我这边的药只够2-3天,我那些药就没了。
曹航
执业兽医师
建议你买半个月的量,然后在家里备着,如果之后有症状就给他吃上,避免到时候手头没有药物 这些药物效期都是比较好的,可以在家里放着
排除掉我所有这边的药,国内的药请问还要买什么?1.速诺 2.优沁
曹航
执业兽医师
对对对,你买上这两个就可以了,然后在你们当地把他就是要吃完的这些最好是在家里备一些
还想请问下,猫猫已经尿血了两天了,我们也在给药,可是好像没什么改善,国内的药要12月10号才能到这边。请问他能坚持吗? 还是建议我们听这边医生的直接手术,谢谢
曹航
执业兽医师
目前这种情况可以给他插一个尿管,留置几天,然后给他输液保守治疗个5~7天,看一下情况,配合口服药 如果说实在是不行,尿管拔掉之后还是频繁的尿闭,那再考虑造口也不迟
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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