仓鼠腹部长了个较大的鼓包变大变小都有
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咨询描述:症状描述:目前2岁3个月侏儒公仓鼠(银狐),腹部长了较大的鼓包,2023年9月初发现(当时是1岁9个月。几天之内突然变大的鼓包,发红,最初发现的模样见图1-3),经过确认,这个鼓包形状不固定,好似内部有液体(由于之前有半个月左右的时间没有检查过它的身体状况,所以当发现鼓包的时候已经是软的了,不确定一开始是不是硬的),摸起来里边没有根,而且相对来说,鼓包的区域温度比身体其他部分略高,仓鼠没有痛感(不管怎么捏它都不会咬人或者痛叫)(当时询问过一些宠物医生,他们说这个是肿瘤,由于所在城市没有专业的异宠医生,就没敢做手术切除)。发现出现这种问题后就喂食了*****,然后在2个多月内(直至2023年11月末的期间),这个鼓包没有变大,反而看起来在变小。另外,这一阶段内,小仓鼠饮食,运动和排便完全没有任何异常,和发现脓包之前一模一样!2023年11月末,它抗拒吃*****,在这一段时间,这个鼓包有了肉眼可见的增长,并且鼓包贴近仓鼠身体的最下边部分开始逐渐发黑,整个鼓包有变紫的倾向。在这个鼓包变大的期间,小仓鼠的活动相对变少了,睡觉增多,看起来好像精神变差了(但是吃喝倒没少)。随后继续喂食*****,2023年12月到今年1月底这两个月,鼓包不再变黑,紫色也消失(但是已经变黑的部分没有再变化),且鼓包的体积逐渐变小。这两个月内,小仓鼠的运动变多,精神越来越好。但是到了本月,小仓鼠又一次抗拒吃*****,在不到两周的时间里,这个鼓包又在变大(图4-5),并且随之而来的是饮食减少,活动减少(可能因为鼓包太大限制了它的行动),精神状态也变差了。2月以来试用了***脱消丹。总体来说,这个鼓包经历的是突然变大→逐渐变小→突然变大→再次变小→又一次变大的循环,只不过从第一个箭头处开始施加*****处理
患病时长:近6个月
医院检查:医生仅仅用手触摸检查,未经过医学影像检查
用药情况:没有特效药,主要喂食*****(患病开始到2024.1)和***脱消丹(本月)
在如此漫长的时间内,仓鼠好像对这个脓包并不感兴趣,只是清理身体的时候才会舔舐这个脓包,而并没有咬破或者抓挠,也看不出疼痛的感觉。想问问医生,这个究竟是肿瘤,还是囊肿,还是什么其他的东西?如果是肿瘤,能看出来具体是哪一类的吗(比如脂肪瘤,血管瘤等等)?因为它看起来实在是太像囊肿了,但是考虑到它的发展过程,我又不敢确定,谢谢您!
问题大致一样,细节不同?
王曌
执业兽医师
他这个情况初步怀疑是肿瘤。后期的话你这边给做检查,可以给他做b超或者说穿刺
谢谢医生的回复。1. 穿刺的话是提取里边的成分做生化检测对吗?这两种方法是否需要麻醉呢?2. 这个是恶性肿瘤吗?考虑到它的年龄,我只希望它还能再多活一些时间,所以应该不太会选择手术,您觉得一般来说,现在的病程(肿瘤可能有一个桂圆那么大)大约处在什么样的阶段呢?3.还想了解一下,对于仓鼠的囊肿来说,是不是最后都会自己破掉或者被仓鼠咬破呢?
王曌
执业兽医师
抽取的样本一般是给他做抹片,然后去用显微镜观察看它里边的细胞种类,然后要确诊的话需要采样去送检,这个一般都考虑皮下脂肪瘤或者是皮下肿瘤,这种一般都是良性居多,如果是这个的话,你不手术就给他考虑,保守治疗,吃上,吃上一些抗肿瘤的药物
好的,再次感谢您!那关于抗肿瘤药物,有没有什么推荐呢?哪种效果比较好?此外,关于饮食和其他的方面,有没有什么建议,以帮助我更好的照顾它?
王曌
执业兽医师
抗肿瘤的药物一般都是中成药我稍后会给你开处方,像饮食方面的话,主要还是给他以粮食为主,然后注意的是一定要给磨牙,完了之后像你给他喂的那个酵母也可以继续给他喂上,然后抗生素选择的话给他选择****
好的,谢谢医生!期待您的处方。还有就是1. 如果选择手术切除的话,依照您的经验,对于老年仓鼠(2岁3个月左右的),麻醉后成功醒来的概率有多大?会是大概率醒不过来吗?还有,如果做手术的话,术后恢复会不会很困难…(比如可能感染,或者引起其他的问题)?成功恢复的概率大嘛?这个手术的预后是不是很好?2.如果保守治疗的话,****的给药,是依据体重进行计算嘛?这个药,在普通的药店就能买到的吧?
王曌
执业兽医师
因为他这个本身体型就小,他的这个手术难度倒是不大,主要的难度是麻醉,很多都是丢在麻醉上边,可能说不做手术还好,一做手术可能就下不来了。我这边也建议是给他去保守治疗,除非说有那种专门给益虫看病的医院,可以去那边给他做手术,这个****,我稍后会在处方里边给你开。用量是每公斤5毫克
好的,谢谢医生啦!这两种药,每天给吃几次呢?脱消丹还是1天2次一次半片吗?****按照体重计,一天是只吃一次吗?
王曌
执业兽医师
***一天一次,一次半片。可以长期吃。****一天两次。连续七天
好的,真的非常感谢您!那如果****吃了一周之后没有好转,是否可以延期至最长连续两周?是不是连续吃两周之后必须停下?停下之后如果肿瘤继续生长,那么,停药后间隔几天可以重新吃呢?7天这样可以吗?
王曌
执业兽医师
可以喂两周,停药一周,再喂。这****只是针对细菌感染或者炎症,对这个肿瘤生长起不到抑制作用。只是说肿瘤导致的炎症有缓解作用。
王曌
执业兽医师
非常感谢您对蘑菇宠医的信任。如果我的回答能够帮助到您,请您在咨询结束后留下 5 星评价,您的评价是我工作最大的支持,感谢。 后续宠物有其它问题,您可以到“蘑菇宠医”官方微信公众号继续向我提问。
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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