請問醫生10歲西施犬肝膽問題!!! 

請問醫生10歲西施犬肝膽問題!!!

版主: doggydc, Jeff Wang, JLLinVET, 艾咪

請問醫生10歲西施犬肝膽問題!!!

文章高高 » 2006-11-22, 12:33

我家有一隻公的10歲西施犬.牠在約兩個月前,常常一直發抖,喝水比平常多一倍吧!於是我帶去給醫生看,驗血結果是膽指數過高,指數如下:
TP 5.8
Albumin 2.6
Globumin 3.2
ALKP 969
GLU 96
AST(GOT) 16
ALT(GPT) 163
BUN 24
CR 1.4
Amylase 789
Lipase 351
Ca 8.2
Na 151
K 3.9
CK 239
之後醫生說牠膽道發炎,膽沙排不出來,開膽藥給牠吃,我持續餵牠吃膽藥吃了約2個月,抖的情況有好轉,但有時還會抖一下下,最近抖的越來越嚴重,我帶牠去別間醫院,醫生說膽發炎不會抖阿!說膽藥不用吃了.請問(1)我的狗狗到底要不要持續吃膽藥?(2)膽道發炎,膽沙排不出來,症狀是什麼?(3)李醫師您看我家狗驗血報告是好是壞?
11月6日有再驗一次血如下:
TP 6.2
Albumin 3.2
Globumin 3
ALKP 264
GLU 89
AST(GOT) 8
ALT(GPT) 48
BUN 18
CR 0.9
Amylase 632
Lipase 113
Na 145
K 4.3
P 3.9
麻煩醫生給我答覆時,煩請寫中文,謝謝感恩...
高高
 
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文章doggydc » 2006-11-22, 15:08

Sorry I can't type chinese.
The clinical signs for Bile stasis problem is not very typical so we can't make the diagnosis from clinical signs alone. Do your dog have any signs of jaundice or reducing appetite and losing weight? Any uncomfortable inside abdomen and pain can induce the shakinng of your dog. Of couse shaking alone doesn't mean the dog is in pain. I really have to examine your dog by myself to make more detail/accurate diagnosis.
By comparing the two blood results, I have to say your dog's condition is much better after treatment(for blood test result point of view only). If your dog still has the abnormal clinical signs, we have to think another possibility.
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文章高高 » 2006-11-22, 22:45

各位養狗達人,有誰懂英文的,幫我翻譯一下吧!!!感恩... :lol:
高高
 
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文章amy » 2006-11-22, 23:44

doggydc 寫:Sorry I can't type chinese.
The clinical signs for Bile stasis problem is not very typical so we can't make the diagnosis from clinical signs alone. Do your dog have any signs of jaundice or reducing appetite and losing weight? Any uncomfortable inside abdomen and pain can induce the shakinng of your dog. Of couse shaking alone doesn't mean the dog is in pain. I really have to examine your dog by myself to make more detail/accurate diagnosis.
By comparing the two blood results, I have to say your dog's condition is much better after treatment(for blood test result point of view only). If your dog still has the abnormal clinical signs, we have to think another possibility.


譯文如下:
很抱歉,我不會中打
臨床上的表現並不像是典型的膽汁阻塞,所以我們不能就臨床上的表現就下診斷
你的狗是否有黃膽?或是胃口下降,體重減輕?任何腹不的疼痛或不舒服都可能引起狗發抖
當然,只是發抖不代表狗就是有疼痛,我真的必須親自檢查才能確任更多細節和做確診
就比對2次血檢的結果,我必須說狗的狀況在治療後有比較好 (這只是就血檢的部份觀察的結果)
如果你的狗仍舊持續有不正常的臨床表現,我們必須去考量其他的可能性

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文章高高 » 2006-11-23, 12:27

李醫師您好,牠胃口很好,體重也沒減輕,就只是會發抖,有時大便會有透明的黏膜,一間動物醫院說是牠腰痛才抖的.那位醫生還說就算膽指數高達1000以上也不會怎麼樣阿!!所以膽藥不用吃.心臟病的藥也不用吃,一間說是膽的關係才抖的.膽藥要持續吃.心臟病的藥也要一直吃,那請問李醫師膽指數高達1000以上不會怎麼樣嗎?膽藥及心臟病的藥需要持續吃嗎?膽指數下降後會一直在升高嗎?狗天天一直吃藥不會造成身體的負擔嗎?謝謝... :(
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文章高高 » 2006-11-23, 12:29

抱歉還有一個問題.黃膽是什麼??? :?:
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文章doggydc » 2006-11-24, 03:18

Jaundice is the discoloration of the skin and mucous membrane to yellow color. The is due to the metabolic pigament color of red blood cell. Once this index(bilirubin) increased which means there is something wrong on red blood cell itself(increase damage) or liver and its excretion system.
I don't know what do you mean the bile index more than 1000. What do your doctor mean? Please ask which index he/she used to judge the dog has severe bile stasis problem.
If your dog has heart problem, the heart medicine is required for life time for most of the cases.(Sorry I don't know what kind of heart problem your dog has, so I can't tell you more detail)
As I told you previously, I need to check your dog by myself or at least talk to some one(doctor) who can give me more accurate medical information before I can tell you more right information.
Medicine usage is depending on the necessary of dog need. How long your dog needs the medicine is depending on your dog condition.Once we have to use long time medicine, we always have to monitor the body condition regularly to make sure everything is OK.
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文章艾咪 » 2006-11-24, 11:48

翻譯如下:
黃膽是皮膚和黏膜變色變成黃色。那是由於紅色血球的新陳代謝的色素顏色。
當這個指數(膽紅素)上升代表紅血球本身有出現問題(損害增加),或是肝臟和它的排泄系統。
我不知知道你所指膽指數超過1000是什麼意思。你的醫生是指什麼呢?請問一下他
判斷狗有嚴重的膽汁血行停滯問題的指數為何?
如果你的狗狗友心臟問題,大多數的案例心臟的要是要終身服用的。(很抱歉我不知道你的狗狗是哪種心臟病,所以不能告訴你更詳細)。
就如我先前告訴你,在我能告訴你更正確的資訊之前,我需要親自檢查你的狗或是至少和某位醫師說(可以給我更正確的醫學資料的人)。
藥的用法是依據狗狗的需要。你的狗狗需要使用多久的時間也是看你狗狗的情況。
當我們需要用長期性的藥物,我們通常需要經常監察身體的情況,確定一切是ok的。

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文章高高 » 2006-11-24, 14:21

謝謝李醫師的答覆,我會再問詳細一點的,感恩,謝謝... :lol:
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