猫咪呕吐糖尿病怎么办

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患宠信息:布偶猫/弟弟/7岁

咨询描述:你好医生,我猫猫上周被诊断糖尿病,我有两份相隔半年的血检单,想让您帮忙分析,我想听下两地不同专家的意见。 在此之前我先阐述下他的过往病史: 他一年前得过一次腹膜炎,做了超声和血检,腹部有积水,那时住院一周,出院后回家药物治疗一个月,期间服用了大量的抗生素,后面复诊后超声和血检显示治愈,积水消失,指标正常。那时体重从8.5公斤降到7公斤。(但估计不是传染性腹膜炎,因为病毒检测全阴,和他弟弟也很健康) 腹膜炎后因为之前服用抗生素的缘故,开始拉肚子,后期用益生菌和****调养治愈。 半年前有次轻微呕吐后精神不佳,我担心是之前腹膜炎问题,带他做了超声和血检,超声显示肠道积有粪便和毛团,那时用药排出来治愈,精神食欲恢复正常,但血检指标显示血糖高,那时怀疑正在发展糖尿病,但还需观察,因此我调整了他的饮食结构,以百分之92肉ziwi干粮和罐头喂养,我把之前含碳水的猫粮都丢了。 这次发生在上周4,我猫猫连续呕吐4-5次,然后吐出大块毛团,随后精神食欲不佳,我观察一晚后第二天他虽有好转,但还是带他去医院检查,体温正常,我要求做了个血检,显示血糖和果糖胺高,加上他近一年来多饮多尿,确诊糖尿病,现在每天两针7个单位***。他检查完随后两天内恢复正常,现在目前精神食欲良好,跑跑跳跳。 这次我想让您帮我分析下两份检测报告,看下有什么潜在问题,其中我比较担心是他肝功能那,虽然只比正常值高了两点,但连读两次都是偏高的。 为了医生方便我把红标英语翻译下: Glucose 葡萄糖,urea 尿素,chloride 氯化物,globulin 球蛋白,ALT 一种肝指标,bilirubin胆红素,Cholesterol 胆固醇,Fructosamine果糖胺。 他现在唯一跟糖尿病症状不同的是他体重目前维持的挺稳定,在7.7-8公斤左右,不像网上说的对吃但瘦。 两张血检表血糖值20点多的是半年前的检测,19点多的是上周五的检测

问题大致一样,细节不同?

点击获取针对性解答

王冲

执业兽医师

你好,首先非常感谢你的翻译,翻译后指标能够明确清楚哪些有问题了 有这么几个问题,猫咪血糖异常高而且果糖胺高,这就可以确定是糖尿病,而且糖尿病引起的症状就是多饮多尿,这种情况***注射需要连续打很长时间,控制的好,食欲会很正常,而且猫咪体重能够维持住,如果血糖控制不好,猫咪体重会迅速消瘦。 其次肝脏指标ALT指标升高,是肝脏功能损伤,怀疑是之前长时间吃抗生素导致的肝脏代谢问题,球蛋白高是全身炎症感染,不排除是肝脏功能损伤引起的。胆红素如果持续升高,猫咪身上可能会出现黄疸,所以需要修复肝脏功能。 建议给猫咪打***的同时,最好配合保肝药来修复肝脏功能,保肝药最少要吃一个月左右,同时还是需要消炎抗感染,最好选择没有副作用的抗生素,那边我不太清楚抗生素的种类,国内现在的抗生素中**泊肟酯这个是没有副作用的,你可以问一下那边有没有这种药

你好医生,请问那个黄_ 是什么病?有什么具体症状吗? 还有保肝有什么推荐?,食疗或药物也好。 动物我不知道,但以人药为经验,两地虽然可能药品不同,但肯定有相互的替代产品的,大同小异,就像我自己吃的胃药一样,国内可能用***错比较多,我们这边用***拉唑更广泛,其实两个是差不多的东西

王冲

执业兽医师

黄疸是胆红素升高无法排除,在体内淤积,从而外部表现为皮肤发黄,这种情况需要口服保肝药来增强肝脏代谢,可以解决黄疸问题 稍后我给开出处方,你看看那边能不能买到相同作用的药物

王冲

执业兽医师

猫咪糖尿病可以吃糖尿病处方粮 修复肝脏可以用肝脏解毒片,是修复肝脏功能,你看看那边能不能买到相同作用的药物

医生已开具针对性处方,点此查看

那他皮肤没有黄梗迹象,粉粉的,还有最后一个问题,那根据两份报告,他的总体情况是比半年前好点还是坏点?

王冲

执业兽医师

目前虽然皮肤还没有变黄,不过最好是先吃药调理,防止病情加重,通过两个报告,现在指标比之前要好一点,但是还不算是理想状态,还需要继续调理

行谢谢医生,目前虽然指标不算理想,至少我知道我没往错的方向调理。说实话虽然养了7年猫,但他是我的第一只,很多问题对我来讲都是第一次遇到

王冲

执业兽医师

不客气,先按照这个方向调理,平时饮食一定要多注意,相信它会恢复健康的

医生建议及处方根据当前病情给出,仅适用于本次问诊

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