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頻尿and血尿~~ 

版主: doggydc, Jeff Wang, JLLinVET, 艾咪

頻尿and血尿~~

文章嘟嘟熊 » 2007-05-03, 00:06

品種:鬆獅犬
性別:女生
年齡:約1歲6個月
體重:約20kg
病例:
大約從小時候6.7個月時就有血尿情形出現,當時檢查結果,尿液中有節晶體,刮傷,所以頻尿~尿液顏色也很濃,後來醫生給了抗生素就 好轉,本以為沒事...今年2.3月時...出現血尿..是真的見血的那種顏色..當時以為說不定是月經,結果檢查結果一樣,於是醫生又開藥,大概吃了5.6個星期的藥,感覺還是沒好轉,於是換家醫院檢查.......

96.4.15驗尿結果如下:
PROTEIN:++100
PH:8
BLOOD:一
SPECIFIC GRAVITY:1.025
KETONE:一
BILIRUBIN:一
GLUCOSE:一
尿渣:CRYSTAL SUSPECT

此次醫生建議我們給狗狗吃處方簽飼料:希爾斯C/D

想請教,如果想要根治就只能吃處方簽飼料了嗎?(因為狗狗很挑食><)
如果不吃處方飼料是不是一定會一再復發?
無法改以其他健康食品藥物改進嗎?(記得醫生有建議過,因為價格太高我忘記是啥藥了)
目前每天也都煮雞胸肉家水騙狗狗多喝水,但不知有無效
是否家中養2隻狗狗以上,狗狗都會變的不愛喝水呢?

請醫生給點建議吧, 謝謝!
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嘟嘟熊
 
文章: 33
註冊時間: 2006-02-05, 01:13
性別: 未指定

文章Jennifer Yuchi Huang » 2007-05-05, 15:38

The urinalysis result indicated high protein content and high pH level in urine. When there is crystal found in urine, it is very important to find out what kind if crystal that is. There are different kinds of crystals and the food recommended varies depending on the type of the crystal. In your dog's case, struvite (magnesium ammonium phosphate) is probably the type of crystal because this is the only type of crystal that comes with high-pH urine. The c/d diet is generally recommended for this type of crystauria (crystal in urine) as long term maintenance. s/d diet can be recommended for short term use in acute phase and has the potential of dissolving the crystal or even stones, though I think it is not available in Taiwan. One thing we still need to keep in mind is that crystauria very often comes along with urinary tract infection. It is very important to treat both problems at the same time and be sure to recheck the urine after you finish up antibiotic treatment to make sure the problem is completely solved. If bacteria still present in the urine after antibiotic treatment for 10-14 days, a urine culture and sensitivity test is mandatory.

For patients that prone to have crystauria, diet maintenance is the best way to reduce recurring rate because the specially designed diets not only lower down the content of those ingredients that aid the formation of crystal but also alter the pH level of urine and make urine unfavorable of crystal formation. There is medication that help to reduce the pH level of urine and thus reducing the chance for struvite crystal to form.

For dogs that hesitate to drink water, wet food such as canned food is another way to increase their water intake. You can even try adding some more water into the canned food. The other way to help your dog is to encourage her to urinate more frequently to decrease the urine-holding time, which is also an important factor for crystal formation.

Jennifer Huang
Jennifer Yuchi Huang
 
文章: 16
註冊時間: 2007-05-03, 13:43
性別: 未指定

文章艾咪 » 2007-05-05, 21:51

翻譯如下:

尿液分析的結果指出:在小便中包含高度的蛋白質和高的酸鹼質。 當在尿液中發現結晶,找出那是什麼結晶是非常重要的。有很多不同種類的結晶,且取決於食物的種類。妳狗狗的案例還說,結晶類型應該是磷酸銨鎂,因為這是尿液高PH質產生的結晶。c/d處方飼料是通常被推薦長期適用於這種鹽類結晶尿(尿液中的結晶)。s/d處方飼料被建議使用於急性時短期使用,他有溶解結晶或石頭的可能性,但是我想台灣沒有。
有一件事我們要觀注的是鹽類結晶尿時常會併發尿道炎。同時治療兩個問題非常重要,而且在抗生素治療過後要再次尿液檢查確定問題完全解決。
如果在抗生素治療10-14 天之後仍然在小便中發現細菌 ,尿液培養和敏感測試是必定要做的。

病人傾向有鹽類結晶尿的, 處方飼料保養是減少發生率最好方法,因為特別設計的處方飼料不只可以降低那些幫助結晶行成的成分,也可以改變尿液的PH質,讓尿液不適合結晶體的形成。藥物治療可以幫助降低尿液的PH質,且減少炎症性結石/結晶形成的機會。

針對不愛喝水的狗狗,像是罐頭食物是另一個增加攝取水分的方法。妳可以甚至試著家一些水在罐頭食物裡面。另一個方法幫助你的狗狗是鼓勵她經常多尿尿,減少彆尿的時間─也是結晶的形成一個重要的因素。


黃鈺祺醫師
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艾咪
 
文章: 333
註冊時間: 2005-04-09, 16:53
來自: 台北
性別: 未指定


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