Matenda Opopa Matenda Amphaka - Zizindikiro ndi Chithandizo

Mlembi: Laura McKinney
Tsiku La Chilengedwe: 4 Epulo 2021
Sinthani Tsiku: 14 Disembala 2024
Anonim
Kodi: настраиваем IPTV
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Zamkati

Matenda otupa kapena IBD mu amphaka Amakhala ndi kudzikundikira kwa maselo otupa m'matumbo a m'mimba. Kudzikundikira kumeneku kumatha kukhala ma lymphocyte, maselo am'magazi am'magazi kapena ma eosinophil. Mu amphaka, nthawi zina amaphatikizidwa ndi kutupa kwa kapamba ndi / kapena chiwindi, chifukwa chake amatchedwa feline triad. Zizindikiro zamankhwala ndizizindikiro za vuto lakugaya chakudya, ngakhale kusanza ndi kuonda kumachitika pafupipafupi, mosiyana ndi matenda otsekula m'mimba omwe amapezeka agalu.

Kuzindikira kosiyanitsa kuyenera kupangidwa pakati pa matenda ena omwe amatulutsa zofananira, ndipo kuzindikira kotsimikizika kumapezeka kudzera mu histopathology. O chithandizo zidzakhala kudzera mu zakudya zinazake kuphatikiza kugwiritsa ntchito mankhwala.


Pitilizani kuwerenga nkhani iyi ya PeritoAnimal, momwe tifotokozere zomwe muyenera kudziwa Matenda Opopa Matenda Amphaka - Zizindikiro ndi Chithandizo.

Kodi chimayambitsa matenda opatsirana m'matumba ndi chiyani?

Matenda opatsirana otupa amphaka kapena IBD ndi Matumbo ang'onoang'ono otupa matenda osadziwika. Nthawi zina, imatha kuphatikizanso m'matumbo kapena m'mimba ndipo imalumikizidwa ndi kapamba ndi / kapena cholangitis, yotchedwa feline triad.

Mu matenda am'mimba otupa, mumalowa maselo olowerera (ma lymphocyte, maselo am'magazi kapena ma eosinophil) mu lamina propria ya mucosal m'matumbo, yomwe imatha kufikira mbali zakuya. Ngakhale chiyambi sichidziwika, pali malingaliro atatu okhudzana ndi Zomwe Zimayambitsa Matenda Opopa Matenda Amphaka:


  • Kusintha kwadzidzidzi motsutsana ndi m'mimba epithelium palokha.
  • Kuyankha kwa ma antigen a bakiteriya, parasitic, kapena zakudya kuchokera kumatumbo lumen.
  • Kulephera pakukhazikika kwa m'mimba mwa mucosa, komwe kumapangitsa chidwi chachikulu ma antigen awa.

Kodi pali mtundu kapena zaka zomwe zingayambitse kukula kwa feline IBD?

Palibe zaka zenizeni. Ngakhale amawonekera kwambiri amphaka azaka zapakati, amphaka ang'onoang'ono komanso achikulire amathanso kukhudzidwa. Kumbali inayi, pali mtundu wina wamitundu mu amphaka a Siamese, Persian ndi Himalayan.

Zizindikiro za Matenda Opatsirana Amatenda Amphaka

Kutupa kumachitika m'matumbo, zizindikilo zamatenda ndizofanana kwambiri ndi zam'mimba zam'mimba, popeza, ngakhale zimakonda kukhala amphaka akale, sizowonjezera. Chifukwa chake, zizindikilo zamankhwala zomwe paka ali ndi matenda opatsirana am'matumbo ndi awa:


  • Anorexia kapena njala yachibadwa.
  • Kuchepetsa thupi.
  • Kusanza kwam'mimba kapena kwamisili.
  • Kutsekula m'mimba pang'ono.
  • Kutsekula m'mimba kwakukulu ngati izi zimakhudzidwanso, nthawi zambiri ndimwazi m'magazi.

Tikamagwira palpation m'mimba, titha kuwona kuwonjezeka kwakusintha kwamatumbo am'matumbo kapena ma lymph node wokulitsa wa mesenteric.

Kuzindikira Matenda Opatsirana Amatenda Amphaka

Chidziwitso chotsimikizika cha IBP ya feline chimapezeka pakuphatikizika kwa mbiri yabwino, kuwunika kwakuthupi, kusanthula labotale, kuyerekezera kulingalira ndi histopathology ya biopsies. Ndikofunikira kuchita fayilo ya kuyesa magazi ndi biochemistry, Kuzindikira kwa T4, kukodza m'mimba, komanso m'mimba kutulutsa mawonekedwe am'magazi monga hyperthyroidism, matenda a impso, kapena kufooka kwa chiwindi.

Nthawi zina CBC ya kutupa kosatha ndi kuwonjezeka kwa ma neutrophil, monocyte, ndi ma globulins amatha kuwoneka. Ngati pali vuto la vitamini B12, izi zitha kuwonetsa kuti vutoli lili kumapeto kwa matumbo aang'ono (ileum). Kenako, zojambula m'mimba imatha kuzindikira matupi akunja, mpweya kapena leus wodwala. Komabe, m'mimba ultrasound Ndiko kuyerekezera kopindulitsa kwambiri, kokhoza kuzindikira kukulitsa kwa khoma la m'mimba, makamaka mucosa, ngakhalenso kuyeza.

Sizachilendo pamatenda otupa amphaka kuti mamangidwe amatumbo amatayika, monga momwe zimakhalira ndi chotupa chamatumbo (lymphoma). Ndikothekanso kuzindikira fayilo ya kuwonjezeka kwa ma mesenteric lymph node ndipo, kutengera kukula ndi mawonekedwe, kaya ndi otupa kapena otupa.

Matenda otsimikizika ndi kusiyanasiyana omwe ali ndi lymphoma amapezeka ndi kusanthula kwake zitsanzo zopezeka ndi endoscopic biopsy kapena laparotomy. M'magulu opitilira 70%, omwe amalowerera ndi ma lymphocytic / plasmocytic, ngakhale atha kukhala eosinophilic osayankha chithandizo. Zina zolowa zomwe sizingatheke ndi neutrophilic (neutrophils) kapena granulomatous (macrophages).

Kuchiza kwa Matenda Opopa Matenda Amphaka

Chithandizo cha matenda opatsirana amphaka amphaka amphaka chimadalira kuphatikiza zakudya ndi ma immunomodulators ndipo, ngati alipo, chithandizo cha comorbidities.

chithandizo chamankhwala

Amphaka ambiri omwe ali ndi IBD amakhala bwino m'masiku ochepa ndi zakudya za hypoallergenic. Izi ndichifukwa choti chakudyacho chimachepetsa gawo lakukula kwa bakiteriya, kumawonjezera kuyamwa kwa m'matumbo ndikuchepetsa kuthekera kwa osmotic. Ngakhale kusintha kwakudyaku kumatha kusiyanitsa zomera zam'matumbo, ndizovuta kuchepetsa mitundu ya tizilombo yomwe imadzaza m'matumbo. Kuphatikiza apo, ngati pali kapamba kaphatikizidwe kamodzi, maantibayotiki ayenera kuperekedwa kuti ateteze matenda amkati mwa ndulu kapena m'matumbo chifukwa cha mphaka (feline triad).

Ngati matumbo akulu amakhudzidwanso, kugwiritsa ntchito zakudya zopatsa mphamvu zitha kuwonetsedwa. Mulimonsemo, akhala veterinarian yemwe akuwonetsa chakudya chabwino cha amphaka ndi IBD kutengera mlandu wanu.

Chithandizo chamankhwala

Ngati muli ndi ndalama zochepa za b12 vitamini, mphaka uyenera kuwonjezeredwa ndi mlingo wa ma micrograms 250 mobisa kamodzi pamlungu kwa milungu 6. Pambuyo pake, milungu iwiri iliyonse pamasabata ena 6 kenako pamwezi.

O metronidazole Ndiwothandiza chifukwa ndi maantimicrobial komanso immunomodulatory, koma iyenera kugwiritsidwa ntchito moyenera kupewa zovuta pamaselo am'mimba ndi neurotoxicity. Mbali inayi, amagwiritsa corticosteroids monga prednisolone m'miyeso yama immunosuppressive. Mankhwalawa ayenera kuchitidwa, ngakhale ngati chakudyacho sichinasinthidwe kuti chifufuze za hypersensitivity ya chakudya, amphaka omwe amawonetsa kuchepa kwa thupi komanso zizindikiritso za m'mimba.

Therapy ndi prednisolone ikhoza kuyamba ndi 2 mg / kg / 24h pakamwa. Mlingo, ngati pali kusintha, umasungidwa kwa milungu ina iwiri kapena inayi. Ngati zizindikiro zamankhwala zikuchepa, mlingowo umachepetsedwa kukhala 1 mg / kg / 24h. mlingo ziyenera kuchepetsedwa mpaka kufika pamlingo wotsika kwambiri womwe umalola kuwongolera zizindikilo.

Ngati ma corticosteroids sali okwanira, ayenera kuuzidwa ma immunosuppressants ena, monga:

  • Chlorambucil pamlingo wa 2 mg / mphaka pakamwa maola 48 aliwonse (kwa amphaka olemera kuposa 4 kg) kapena maola 72 aliwonse (amphaka osakwana 4 kg). Kuwerengera magazi kwathunthu kumayenera kuchitika masabata onse a 2-4 pakagwa mafupa aplasia.
  • Cyclosporine pa mlingo wa 5 mg / kg / 24 hours.

O chithandizo cha matenda ofooka otupa ofooka mu amphaka zikuphatikizapo:

  • Zakudya za Hypoallergenic masiku 7 ndikuwunika mayankho.
  • Metronidazole kwa masiku 10 pamlingo wa 15mg / kg / 24 maola pakamwa. Chepetsani mlingo ndi 25% milungu iwiri iliyonse mpaka mutasiya.
  • Ngati palibe yankho ndi mankhwala omwe ali pamwambapa, prednisolone 2 mg / kg / 24h iyenera kuyambika yokha kapena kuphatikiza ndi metronidazole, kuchepetsa mlingo wa 25% pakatha milungu iwiri yonse mpaka utakwaniritsidwa.

Ndipo popeza muli ndi mitundu yosiyanasiyana ya chithandizo cha amphaka am'matumbo otupa, mungakhale ndi chidwi chodziwa matenda omwe amapezeka kwambiri amphaka. Musaphonye vidiyo yotsatirayi:

Nkhaniyi ndi yongofuna kudziwa zambiri, ku PeritoAnimal.com.br sitingathe kupereka chithandizo chamankhwala kapena mtundu uliwonse wa matenda. Tikukulangizani kuti mupite ndi chiweto chanu kuchipatala ngati chili ndi vuto lililonse.

Ngati mukufuna kuwerenga zina zambiri zofanana ndi Matenda Opopa Matenda Amphaka - Zizindikiro ndi Chithandizo, tikukulimbikitsani kuti mulowetse gawo lathu lamavuto amkati.