咨询描述:于医生你好,我家猫从1月中旬复发尿血(21年首次尿血,住院输液好了),然后我给它吃了****和***,吃了一个星期就好了,到了二月底又复发,我又给它买了***、***、**,吃了两天就好了,又过了两天开始不吃饭,没精神,三天没拉粑粑,喝水量增多,喜欢待在水边,尿量也增多,我马上带到医院去做了检查,请帮我看看它的检查结果
症状描述:三天不吃饭不拉屎,喝水量增多
猫猫9九岁了,公猫已绝育
患病时长:复发一个星期
问题大致一样,细节不同?
于博
执业兽医师
好的,去检查时候猫咪有尿闭吗?
检查肾脏指标有升高肾衰的情况
白细胞检测不到。有做超声和片子检查膀胱和肾脏吗?
从来没有尿闭过,请问检测不到白细胞代表着什么呢?
为保护用户隐私不显示图片/视频
于博
执业兽医师
好的,白细胞一般常见的原因有:检测机器问题,应激,病毒性疾病(猫瘟),急性感染,中毒感染。
我建议您给猫咪重新检测一次血常规或者换个医院检测一下血常规看是不是检测问题。
猫咪没有尿闭,那就是肾功能有问题,需要做个超声看一下肾脏内部结构,片子看大小形态没有异常。肾脏功能问题需要之后长期用药维持,定期监测指标
谢谢医生,请问从它目前的指标来看,是确诊肾衰了吗,几期呢?
于博
执业兽医师
好的,首先建议您再检测一下血常规和SAA,肾脏超声。确定一下是机器问题还是身体原因
肾脏药物稍后给您开个处方
饮食上建议饲喂肾脏处方粮,但罐头零食,高蛋白猫粮就不要饲喂了。
要保证饮食,如果不吃可以先饲喂主食罐头看看有没有食欲,如果都不吃需要人工强饲食物,保证每天的营养。前期建议先住院输液调理,保证水分
于博
执业兽医师
1.*** 一天一次 一次一粒
2.** 一天两次 一次两勺
3.定期检测指标2-3个月一次
谢谢医生,想请问一下,三期肾病大概还能活多久,是不是没有治愈的可能
于博
执业兽医师
好的,内脏疾病都是不可逆的,药物也是帮助肾脏分解有害物质,但是肾脏本身功能的病变是没有办法治疗的。
一般如果发展慢3-5年,快速或者药物控制不住的几个月。目前猫咪的年龄应该是退行性的病变,药物进入应该不会急性发展。一般都是早期主人没有发现,慢慢发生急性升高,肌酐达到1000以上
我看了下它的肌酐超出的范围不算太高,请问判断它肾衰最直观的指标是哪一项?以后我多多关注,感谢医生
于博
执业兽医师
好的,就是肌酐,尿素氮,血磷,红细胞(肾病会引起贫血)
它是有一个分级标准
肌酐小于140是一级,没有氮质血症(尿素氮升高),肌酐略升高
肌酐再140-250之间,是二级 轻度氮质血症
肌酐250-440之间,是三级,中度氮质血症
肌酐440以上 重度氮质血症是四级
看看用药后尿毒氮能不能降一些,如果持续这么高还是很不好的。
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
{"656634":{"id":656634,"case_id":72332,"user_id":1734397,"to_user_id":2512025,"type":3,"content":"1.*** 一天一次 一次一粒\n2.** 一天两次 一次两勺\n3.定期检测指标2-3个月一次","media":{"images":{},"videos":{},"business_params":{"prescription_id":170248}},"is_doctor":1,"status":1,"created_at":"2024-03-04 09:53:54","show_rx":true,"rx_info":{"id":170248,"rx_no":2.02403040953015e+24,"user_id":2512025,"doctor_user_id":1734397,"is_independent":0,"case_id":3251827,"pet_info":{"pet_id":443595,"pet_name":"中华田园猫","pet_nickname":"丹妮","pet_gender":3,"pet_birth":"8-8","pet_weight":10,"pet_vaccination_status":0,"pet_in_insect_repellent_status":0,"pet_out_insect_repellent_status":0,"pet_age_format":"8岁8个月"},"diagnose":"慢性肾病","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2024-03-04 09:53:01","updated_at":"2024-03-04 09:53:54","deleted_at":null,"from_source":"online","template_id":271,"drug_data":{"0":{"id":153161,"prescription_id":170248,"doctor_user_id":1734397,"product_id":759,"product_sku_id":801,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天1次","days":30,"number":1,"remark":"","created_at":"2024-03-04 09:53:01","updated_at":"2024-03-04 09:53:01","product_info":{"id":759,"hash_id":"0JmBZRxqWl4nYK6j","class_ids":{"0":1,"1":2},"category_ids":{"0":166},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":88,"sell_point":"欧肾康 宠物营养补充剂","title":"欧博方欧肾康 宠物营养补充剂 0.5g×30片\/盒","recommend_reason":{"0":"有效降低血磷、肌酐,尿素氮指标,让犬猫告别萎靡","1":"慢性肾衰后期必须服用磷结合剂","2":"降低服用抗生素等化学药物引起的肾损伤"},"baike_guide_text":"","baike_article_hash_id":"","advword":"血磷,肌酐,尿素氮,肾衰,肾损伤","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"30粒盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/11\/fc503d6d623d29e91259f6c7ee2b0713.png","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":148,"max_price":148,"sale_count":28,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-20 14:23:28","updated_at":"2024-11-21 16:38:04","ins":{"id":88,"hash_id":"","class_ids":"[1]","title":"欧博方欧肾康 宠物营养补充剂 0.5g×30片\/盒","common_name":"宠物营养补充剂","trade_name":"欧肾康","en_name":"Prokidney","brand_name":"欧博方","is_prescription":0,"cover":"\/drug\/2024\/11\/f52c3aab349bbca6b135e9a671ed0837.png","specification":"0.5g×30片\/盒","reference_price":180,"component":"壳寡糖,碳酸钙,维生素B,泛酸钙,烟酰胺,生物素,叶酸","indication":"1.有效降低血磷、肌酐,尿素氮指标,让犬猫告别萎靡。\n2.慢性肾衰后期必须服用磷结合剂。\n3.降低服用抗生素等化学药物引起的肾损伤。","usage_dosage":"根据体重,建议10kg及以下,1片\/日;10-30kg,2片\/日;30kg及以上,3片\/日。症状严重的,推荐剂量加倍,直接饲喂或拌在食物里均可。","contraindication":"","adverse_reaction":"","attention":"仅用于宠物,避免儿童和动物主动接触。","interaction":"","approval_no":"鲁饲预字(2018)073002","storage_method":"密封,干燥保存。","validity":"2年","manufacturer":"青岛欧博方医药科技有限公司","status":1,"created_at":"2020-11-10 16:27:36","updated_at":"2024-11-21 16:39:20"}},"product_sku_info":{"id":801,"product_id":759,"title":"欧博方欧肾康 宠物营养补充剂 0.5g×30片\/盒","advword":null,"price":148,"market_price":180,"cost_price":0,"stock":70,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"30粒盒装"}},"cover":null,"thumb":"","sale_count":30,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-20 14:23:28","updated_at":"2024-11-21 16:38:04"}},"1":{"id":153162,"prescription_id":170248,"doctor_user_id":1734397,"product_id":773,"product_sku_id":815,"dose":2,"dose_unit":"勺","use_method":"口服","frequency":"每天2次","days":30,"number":1,"remark":"","created_at":"2024-03-04 09:53:01","updated_at":"2024-03-04 09:53:01","product_info":{"id":773,"hash_id":"7REJ0W4AzngPBVAK","class_ids":{"0":1,"1":2},"category_ids":{"0":166},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":195,"sell_point":"肾康宠物营养补充剂","title":"摩登狗肾康宠物营养补充剂 50g\/瓶","recommend_reason":{"0":"用于防治犬猫肾衰","1":"改善犬猫肾脏功能,清除附磷、尿毒素等有害物质","2":"降低胆固醇、防止贫血、改善食欲、增强体质等"},"baike_guide_text":"","baike_article_hash_id":"","advword":"肾衰竭,胆固醇,贫血,改善食欲,尿毒症","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"50g"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/07\/202d025a70a9c3a586fbfbfa7e213a87.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":118,"max_price":118,"sale_count":32,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-20 15:19:21","updated_at":"2024-11-18 17:26:08","ins":{"id":195,"hash_id":"3a0E6Qpj3Z42b9Rk","class_ids":"[1,2]","title":"肾康宠物营养补充剂","common_name":"宠物营养补充剂","trade_name":"肾康","en_name":"Nephrowell","brand_name":"摩登狗","is_prescription":0,"cover":"\/drug\/2024\/07\/92e0e5e84ed312b18e26b0475b88a61d.jpg","specification":"50g\/瓶","reference_price":180,"component":"聚氨基葡萄糖、碳酸钙、乳糖","indication":"主要用于治疗和预防犬猫肾衰,针对犬猫的肾衰有很好的效果。\n可以改善犬猫肾脏功能,清除附磷、尿毒素等有害物质。从而降低小肠对这些物质的吸收,降低体内磷水平,起到保护肾脏,恢复肾功能的作用。此外,还能降低胆固醇,防止贫血,改善食欲,增强体质等作用。","usage_dosage":"按照犬猫的体重,每天2次。\n每5公斤体重用1克(约1勺),每天2次,可单独给药,也可与食物混在一起饲喂,与干食物混饲时,可以放少许水将食物弄湿后与本品混合,本品可以长期饲喂","contraindication":"","adverse_reaction":"","attention":"请勿让儿童触摸本品。","interaction":"","approval_no":"冀饲预(2019)35004","storage_method":"温室,密闭保存。","validity":"2年","manufacturer":"秦皇带莱银生物科技有限公司","status":1,"created_at":"2021-12-22 18:20:51","updated_at":"2024-07-04 14:07:38"}},"product_sku_info":{"id":815,"product_id":773,"title":"摩登狗肾康宠物营养补充剂 50g\/瓶","advword":null,"price":118,"market_price":160,"cost_price":0,"stock":68,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50g"}},"cover":null,"thumb":"","sale_count":32,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-20 15:19:21","updated_at":"2024-11-18 17:08:33"}}},"drug_data_bak":{"0":{"id":153161,"prescription_id":170248,"doctor_user_id":1734397,"product_id":759,"product_sku_id":801,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天1次","days":30,"number":1,"remark":"","created_at":"2024-03-04 09:53:01","updated_at":"2024-03-04 09:53:01","product_info":{"id":759,"hash_id":"0JmBZRxqWl4nYK6j","class_ids":{"0":1,"1":2},"category_ids":{"0":166},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":88,"sell_point":"欧肾康 宠物营养补充剂","title":"欧博方欧肾康 宠物营养补充剂 0.5g×30片\/盒","recommend_reason":{"0":"有效降低血磷、肌酐,尿素氮指标,让犬猫告别萎靡","1":"慢性肾衰后期必须服用磷结合剂","2":"降低服用抗生素等化学药物引起的肾损伤"},"baike_guide_text":"","baike_article_hash_id":"","advword":"血磷,肌酐,尿素氮,肾衰,肾损伤","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"30粒盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/11\/fc503d6d623d29e91259f6c7ee2b0713.png","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":148,"max_price":148,"sale_count":28,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-20 14:23:28","updated_at":"2024-11-21 16:38:04","ins":{"id":88,"hash_id":"","class_ids":"[1]","title":"欧博方欧肾康 宠物营养补充剂 0.5g×30片\/盒","common_name":"宠物营养补充剂","trade_name":"欧肾康","en_name":"Prokidney","brand_name":"欧博方","is_prescription":0,"cover":"\/drug\/2024\/11\/f52c3aab349bbca6b135e9a671ed0837.png","specification":"0.5g×30片\/盒","reference_price":180,"component":"壳寡糖,碳酸钙,维生素B,泛酸钙,烟酰胺,生物素,叶酸","indication":"1.有效降低血磷、肌酐,尿素氮指标,让犬猫告别萎靡。\n2.慢性肾衰后期必须服用磷结合剂。\n3.降低服用抗生素等化学药物引起的肾损伤。","usage_dosage":"根据体重,建议10kg及以下,1片\/日;10-30kg,2片\/日;30kg及以上,3片\/日。症状严重的,推荐剂量加倍,直接饲喂或拌在食物里均可。","contraindication":"","adverse_reaction":"","attention":"仅用于宠物,避免儿童和动物主动接触。","interaction":"","approval_no":"鲁饲预字(2018)073002","storage_method":"密封,干燥保存。","validity":"2年","manufacturer":"青岛欧博方医药科技有限公司","status":1,"created_at":"2020-11-10 16:27:36","updated_at":"2024-11-21 16:39:20"}},"product_sku_info":{"id":801,"product_id":759,"title":"欧博方欧肾康 宠物营养补充剂 0.5g×30片\/盒","advword":null,"price":148,"market_price":180,"cost_price":0,"stock":70,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"30粒盒装"}},"cover":null,"thumb":"","sale_count":30,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-20 14:23:28","updated_at":"2024-11-21 16:38:04"}},"1":{"id":153162,"prescription_id":170248,"doctor_user_id":1734397,"product_id":773,"product_sku_id":815,"dose":2,"dose_unit":"勺","use_method":"口服","frequency":"每天2次","days":30,"number":1,"remark":"","created_at":"2024-03-04 09:53:01","updated_at":"2024-03-04 09:53:01","product_info":{"id":773,"hash_id":"7REJ0W4AzngPBVAK","class_ids":{"0":1,"1":2},"category_ids":{"0":166},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":195,"sell_point":"肾康宠物营养补充剂","title":"摩登狗肾康宠物营养补充剂 50g\/瓶","recommend_reason":{"0":"用于防治犬猫肾衰","1":"改善犬猫肾脏功能,清除附磷、尿毒素等有害物质","2":"降低胆固醇、防止贫血、改善食欲、增强体质等"},"baike_guide_text":"","baike_article_hash_id":"","advword":"肾衰竭,胆固醇,贫血,改善食欲,尿毒症","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"50g"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/07\/202d025a70a9c3a586fbfbfa7e213a87.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":118,"max_price":118,"sale_count":32,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-20 15:19:21","updated_at":"2024-11-18 17:26:08","ins":{"id":195,"hash_id":"3a0E6Qpj3Z42b9Rk","class_ids":"[1,2]","title":"肾康宠物营养补充剂","common_name":"宠物营养补充剂","trade_name":"肾康","en_name":"Nephrowell","brand_name":"摩登狗","is_prescription":0,"cover":"\/drug\/2024\/07\/92e0e5e84ed312b18e26b0475b88a61d.jpg","specification":"50g\/瓶","reference_price":180,"component":"聚氨基葡萄糖、碳酸钙、乳糖","indication":"主要用于治疗和预防犬猫肾衰,针对犬猫的肾衰有很好的效果。\n可以改善犬猫肾脏功能,清除附磷、尿毒素等有害物质。从而降低小肠对这些物质的吸收,降低体内磷水平,起到保护肾脏,恢复肾功能的作用。此外,还能降低胆固醇,防止贫血,改善食欲,增强体质等作用。","usage_dosage":"按照犬猫的体重,每天2次。\n每5公斤体重用1克(约1勺),每天2次,可单独给药,也可与食物混在一起饲喂,与干食物混饲时,可以放少许水将食物弄湿后与本品混合,本品可以长期饲喂","contraindication":"","adverse_reaction":"","attention":"请勿让儿童触摸本品。","interaction":"","approval_no":"冀饲预(2019)35004","storage_method":"温室,密闭保存。","validity":"2年","manufacturer":"秦皇带莱银生物科技有限公司","status":1,"created_at":"2021-12-22 18:20:51","updated_at":"2024-07-04 14:07:38"}},"product_sku_info":{"id":815,"product_id":773,"title":"摩登狗肾康宠物营养补充剂 50g\/瓶","advword":null,"price":118,"market_price":160,"cost_price":0,"stock":68,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50g"}},"cover":null,"thumb":"","sale_count":32,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-20 15:19:21","updated_at":"2024-11-18 17:08:33"}}}}}}
微信扫一扫
立即问宠医