咨询描述:猫猫 近两个月瘦了两斤 不爱吃饭 精神一般爱睡觉,去检查说是先天性肾衰竭 但是先天性的不是很小就发病了吗 猫猫已经五岁了,想问问应该怎么治疗啊
问题大致一样,细节不同?
王鑫
执业兽医师
根据你讲到的情况现在确实是肾衰了 尿素氮和肌酐都是升高的 为了进一步判断宝贝的情况我还有几个问题需要向你核实一下:
1. 它有没有尿闭 排尿都正常吗?
2. 有没有多喝水情况
3. 有没有给它做腹部超声 和sdma这两个检查
4. 现在体温正常吗?有没有输液治疗
以上情况你回忆后详细的描述给我,感谢你的配合。
1.没有尿闭暂时,可能排尿减少了吧2.没观察喝水3.没有做4.体温正常没输液。 医生请问这是先天的吗 我家猫一岁做绝育的时候都挺正常的啊
王鑫
执业兽医师
你好 这个情况一般不考虑是先天性的 像这个情况年龄增长导致的肾脏细胞衰退、遗传因素、饮食不当(如长期食用高油高盐食物)、肾脏感染或堵塞、与衰老相关的肾脏疾病、先天性肾脏畸形、肾脏肿瘤等情况会造成这个情况 像他这个情况需要给它做一下腹部超声和sdma看一下肾脏情况 然后输液加速肾脏工作 但是慢性肾衰不能根治 就算好了 后期可能还会复发所以需要给它猫粮更换成肾脏处方粮 还有需要吃保护肾脏药物例如*** 来给他维持 定期复查肾脏情况
不用透析是吗 药和输液需要给他用什么样的药物呀 肾脏处方粮有哪些?怎么弄求帮助
这是腹部超声 医生你看下这种情况属于什么 ,需要吃什么样的处方粮还有***是不是这个牌子的 ?输液输哪种?
为保护用户隐私不显示图片/视频
王鑫
执业兽医师
你好 现在先不用透析 等输液5天左右复查一下血液生化看看指标有没有下降如果越来越严重 没下降指标就需要透析了 输液 需要输液泵 可以用抗生素 配合离子液 来给他输液 这个跟医生说他就应该知道 你看一下我下面给你推荐的处方粮 用这个肾脏处方粮就可以 然后口服药物可以购买*** 就是你图片上的味道品牌就可以 他这个应该是多囊肾或者是肾脓肿 多囊肾是先天性发育问题了
多囊肾先天性的会有什么问题吗或者后遗症吗?严重程度是什么呀还能治好吗?如果指标下降了寿命还有多久?
王鑫
执业兽医师
你好 多囊肾一般就是先天性发育问题 这个就是会造成肾脏衰竭的主要原因 就算治疗好了 也没办法根治 后续可能还会复发 所以以后就是用药维持 按时复查 复发就需要输液 现在就是比较严重情况了 这个寿命没有准确的时间具体还是需要看猫咪恢复程度和复发情况 临床有好几年不复发的 寿命就没有什么影响 如果复发比较频繁 那寿命肯定会低的
医生你好 意思就是如果输液指标下降那么输5天左右就行,然后就是吃药处方粮好好保养着 不复发就最好,现在这种比较严重的情况治疗好的希望大吗,我知道不能根治,就是治疗好我们好好保养,治疗好的希望大吗
王鑫
执业兽医师
你好 输液一般是5到7天 然后复查指标看看有没有下降 如果没有就需要透析等治疗方案了 治疗几率平均在70左右 具体还是需要看他后续复查情况 因为这个肾衰情况没办法跟你说就一定能治疗好 还是需要看个体差异
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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