Anter
- He aha a he aha ke kumu o ka maʻi ʻōpū i loko o nā pōpoki?
- Aia kekahi predisposition lāhui a i ʻole makahiki i ka hoʻomohala ʻana o feline IBD?
- Nā ʻōuli o ka maʻi ʻōpū i loko o nā pōpoki
- Kuhi o ka maʻi ʻōpū i loko o nā pōpoki
- Hoʻomaʻamaʻa i ka maʻi hoʻoweliweli hoʻohanohano i nā pōpoki
- mālama papaʻai
- Lapaʻau lapaʻau
ʻO ka maʻi maʻi ʻōpū IBD i nā pōpoki aia i loko o ka hōʻuluʻulu o nā hunaola hoʻowali i loko o ka mucosa ʻōpū. Hiki i kēia hōʻiliʻili ke lilo i lymphocytes, nā huna wai a i ʻole nā eosinophils. I nā pōpoki, hele pū ʻia me kekahi manawa me ka mumū o ka pancreas a me / a i ʻole ke akepaʻa, no laila ua kapa ʻia ia feline triad. ʻO nā hōʻailona hōʻailona nā ʻōuli laulā o kahi pilikia digestive, ʻoiai ʻo ka luaʻi a me ka pohō kaumaha e hana pinepine ʻia, ʻokoʻa ka maʻi diarrhea mau i nā ʻīlio.
Pono e hana i kahi hōʻailona hoʻokaʻawale maikaʻi ma waena o nā maʻi ʻē aʻe e hana i nā hōʻailona like, a loaʻa ke kuhi definitive ma o ka histopathology. ʻ lapaau e lilo ia ma o kahi papaʻai kikoʻī e hui pū ʻia me ka hoʻohana ʻana o nā lāʻau.
E hoʻomau i ka heluhelu ʻana i kēia ʻatikala PeritoAnimal, kahi a mākou e wehewehe ai i ka mea āu e ʻike ai ʻO ka maʻi maʻi maʻi pīpī i nā pōpoki - nā ʻōuli a me nā lāʻau.
He aha a he aha ke kumu o ka maʻi ʻōpū i loko o nā pōpoki?
ʻO ka maʻi ʻōpū ʻōpū i nā pōpoki a i ʻole IBD a ʻO ka maʻi ʻōpū liʻiliʻi o ka ʻōpū o ka ʻike ʻole i ʻike ʻia. ʻO ka manawa maʻamau, hiki iā ia ke hoʻopili i ka ʻōpū nui a i ʻole ka ʻōpū a pili pū me ka pancreatitis a me / a i ʻole cholangitis, i kapa ʻia ʻo ka trieline feline.
I loko o ka maʻi ʻōpū feline, aia kahi infiltration o nā hunaola (lymphocytes, plasma cells a i ʻole eosinophils) i ka lamina propria o ka mucosal layer o ka ʻōpū, i hiki i nā papa hohonu. ʻOiai ʻike ʻole ʻia ke kumu, aia ʻekolu kuhiakau e pili ana i ka Nā kumu o ka maʻi ʻōpū o ka maʻi i nā pōpoki:
- Hoʻololi autoimmune e kūʻē i ka epithelium ʻōpū iā ia iho.
- Ka pane i ka maʻi koʻohune, parasite, a i ʻole nā diet antigens mai ka lumen ʻōpū.
- Hōʻino ʻole i ka permeability o ka mucosa ʻōpū, kahi e hōʻike nui ai i kēia mau antigen.
Aia kekahi predisposition lāhui a i ʻole makahiki i ka hoʻomohala ʻana o feline IBD?
ʻAʻohe makahiki kikoʻī. ʻOiai ʻike ʻia ka hapanui o nā pōpoki waena, hiki ke hoʻopili ʻia nā pōpoki ʻōpio a ʻōpio hoʻi. Ma ka ʻaoʻao ʻē aʻe, aia kekahi predisposition lāhui i nā pōpoki Siamese, Persian a me Himalayan.
Nā ʻōuli o ka maʻi ʻōpū i loko o nā pōpoki
E like me ka lī ʻana i loko o ka ʻōpū, like loa nā ʻōuli maʻi i ko ka ʻōpū lymphoma, hāʻawi ʻia, ʻoiai ʻoi aku ka pinepine o nā pōpoki kahiko, ʻaʻole ia wale nō. No laila, ʻo nā hōʻailona hōʻailona i hōʻike ʻia kahi pōpoki me nā maʻi maʻi ʻōpū:
- Anorexia a i ʻole ka makemake maʻamau.
- Kaumaha emi.
- Ka luaʻi mucous a bilious paha.
- Holo palahalaha.
- Pohā ka ʻōpū nui inā pili kēia, maʻamau me ke koko i ka pahu.
Ke hana nei i kahi palpation ʻōpū, ʻike paha mākou i ka hoʻonui ʻana o ke kūlike o nā puka lou o ka ʻōpū a i ʻole hoʻonui ʻia nā lymph node mesenteric.
Kuhi o ka maʻi ʻōpū i loko o nā pōpoki
Loaʻa ke kuhi definitive o ka feline IBD ma o ka hoʻohui ʻana o kahi mōʻaukala maikaʻi, ka hoʻokolo kino ʻana, ka nānā ʻana i ke keʻena hoʻokolohua, ka ʻike kiʻi a me ka histopathology o nā biopsies. Pono e hana i kahi hoʻāʻo koko a me biokimia, ʻIke iā T4, urinalysis, a me nā radiography ʻōpū e kāpae i nā maʻi ʻōnaehana e like me hyperthyroidism, maʻi kidney, a i ʻole ke kō ʻole o ke ake.
I kekahi manawa ʻike ʻia kahi CBC o ka mumū mau me ka hoʻonui ʻana o nā neutrophil, monocytes, a me nā globulins. Inā loaʻa ka lawa ʻole ka wikamina B12, hiki i kēia ke hōʻike i ka pilikia ma ka ʻaoʻao hope o ka ʻōpū liʻiliʻi (ileum). Ma ka huli aʻe, ka radiography ʻōpū hiki ke ʻike i nā kino haole, nā kinoea a i ʻole nā maʻi palustic ileus. Eia naʻe, ʻo ka ultrasound ʻōpū ʻo ia ka hōʻike kiʻi kūpono loa, hiki ke ʻike i kahi mānoanoa o ka paia o ka ʻōpū, kikoʻī ka mucosa, a ana hoʻi iā ia.
ʻAʻole maʻamau i ka maʻi ʻōpū o ke kīpē i nā pōpoki e nalowale ana ka hoʻolālā o nā ʻōpū o ke ʻōpū, e like me ka hiki ke hana ʻia me kahi ʻōpū o ka ʻōpū (lymphoma). Hiki nō hoʻi ke nānā a hoʻonui i nā node lymph mesenteric a, kaukaʻi ʻia i ko lākou nui a me ko lākou ʻano, inā lākou i hoʻā ʻia a i ʻole ke kūpikipiki.
E loaʻa ka wehewehe paʻa a ʻokoʻa hoʻi me ka lymphoma me a kālailai histopathological o nā laʻana i loaʻa iā biopsy endoscopic a i ʻole laparotomy. Ma mua o 70% o nā hihia, ʻo ka infiltrate he lymphocytic / plasmosittic, ʻoiai hiki ke eosinophilic me kahi pane haʻahaʻa i ka lāʻau. ʻO nā infiltrates ʻē aʻe i liʻiliʻi ka hiki ʻole he neutrophilic (neutrophil) a i ʻole granulomatous (macrophages).
Hoʻomaʻamaʻa i ka maʻi hoʻoweliweli hoʻohanohano i nā pōpoki
ʻO ka mālama ʻana i ka maʻi ʻōpū i loko o nā pōpoki i loko o nā pōpoki e kau ʻia ma ka hui pū ʻana o ka papaʻai a me nā immunomodulator a, inā loaʻa, mālama ʻia o nā maʻi maʻi.
mālama papaʻai
ʻOi aku ka maikaʻi o nā pōpoki me IBD i kekahi mau lā me ka ʻai hypoallergenic. ʻO kēia no ka mea o ka papaʻai e hoʻoliʻiliʻi i ka substrate no ka ulu ʻana o ka maʻi, hoʻonui i ka lawe ʻana o ka ʻōpū a hoʻemi i ka hiki osmotic. ʻOiai ke hoʻololi nei i kēia mau papaʻai hiki ke normalize i ka flora ʻōpū, paʻakikī e hōʻemi i nā ʻano pathogenic e hoʻonui ana i ka ʻōpū. Eia hou, inā loaʻa ka pancreatitis pākahi, pono e hāʻawi ʻia nā lāʻau ʻaloʻalo e pale aku ai i nā maʻi i ke aʻa a me nā ʻōpū ma muli o nā hiʻohiʻona anatomical o ka pōpoki (trieline feline).
Inā pili ka ʻōpū nui, ka hoʻohana ʻana o ʻaiʻai kiʻekiʻe fiber hiki ke hōʻike ʻia. I kēlā me kēia hihia, ʻo ia ka veterinarian nāna e kuhikuhi i ka meaʻai maikaʻi loa no nā pōpoki me IBD e pili ana i kāu hihia.
Lapaʻau lapaʻau
Inā he haʻahaʻa kāu b12 wikamina, pono e hoʻonui ʻia ka pōpoki me kahi mahele o 250 microgram subcutane ʻelua manawa i ka pule no 6 mau pule. Ma hope, i kēlā me kēia 2 mau pule no kekahi 6 mau pule a laila ma ka mahina.
ʻ metronidazole maikaʻi ia no ka mea he antimicrobial a me ka immunomodulatory, akā pono e hoʻohana pono ʻia e hōʻalo i nā hopena maikaʻi ʻole i nā hunaola ʻōpū a me nā neurotoxicity. I kekahi ʻaoʻao, hoʻohana lākou Corticosteroids e like me prednisolone i loko o nā lāʻau immunosuppressive. Pono e hana i kēia therapy, ʻoiai inā ʻaʻole i hoʻololi ʻia ka papaʻai e nānā ai no ka hypersensitivity o ka meaʻai, i nā pōpoki e hōʻike ana i ka pohō kaumaha a me nā hōʻailona digestive.
Hiki ke hoʻomaka me ka prednisolone Therapy me 2 mg / kg / 24h waha. ʻO ka mahele lāʻau, inā aia kahi hoʻomaikaʻi, mālama ʻia no 2 a 4 mau pule ʻē aʻe. Inā ke emi nei nā hōʻailona hōʻailona, hoʻemi ʻia ka lāʻau i 1 mg / kg / 24h. ka mahele lāʻau pono e hoʻēmi a hiki i ka palena haʻahaʻa hopena haʻahaʻa e hiki ai ke kaohi i nā ʻōuli.
Inā ʻaʻole lawa nā corticosteroids, pono lākou e hoʻolauna nā pale pale pale ʻē aʻe, e like me:
- ʻO Chlorambucil ma kahi mahele o 2 mg / pōpoki waha i kēlā me kēia 48 mau hola (no nā pōpoki e kaupaona ana ma mua o 4 kg) a i kēlā me kēia 72 mau hola (no nā pōpoki i kaupaona ʻia ma lalo o 4 kg). Pono e hana i nā helu piha o ke koko i kēlā me kēia 2-4 mau pule inā he aplasia iwi ʻōiwi.
- Cyclosporine ma kahi mahele o 5 mg / kg / 24 mau hola.
ʻ ka mālama ʻana i ka maʻi ʻōpū maha i nā pōpoki pū kekahi:
- ʻO kaʻai hypoallergenic no 7 mau lā a me ka loiloi o ka pane.
- ʻO Metronidazole no 10 mau lā ma kahi mahele o 15mg / kg / 24 mau hola ma ka waha. E hoʻemi i ka mahele lāʻau e 25% i kēlā me kēia 2 mau pule a hiki i ka haʻalele ʻana.
- Inā ʻaʻohe pane me ka lāʻau i luna, pono e hoʻomaka wale ʻia ka prednisolone 2 mg / kg / 24h a i ʻole me ka metronidazole, e hoʻemi ana i ka lāʻau ma o 25% i kēlā me kēia 2 mau pule a hiki i ka hōʻemi ʻana o ka hopena liʻiliʻi.
A i kēia manawa he ʻano like ʻole kāu me ka mālama ʻana i nā pōpoki maʻi ʻōpū i loko o nā pōpoki, makemake paha ʻoe e ʻike he aha nā maʻi maʻamau o nā pōpoki. Mai haʻalele i kēia wikiō aʻe:
ʻO kēia ʻatikala no ka ʻike wale nō, ma PeritoAnimal.com.br ʻaʻole hiki iā mākou ke kuhikuhi i nā lāʻau lapaʻau lāʻau a hana paha i kekahi ʻano o ke kuhi. Paipai mākou iā ʻoe e lawe i kāu pipi i ka kauka holoholona inā loaʻa kekahi ʻano o ke ʻano a ʻoluʻolu ʻole paha.
Inā makemake ʻoe e heluhelu hou aku i nā ʻatikala e like me ʻO ka maʻi maʻi maʻi pīpī i nā pōpoki - nā ʻōuli a me nā lāʻau, paipai mākou iā ʻoe e komo i kā mākou mahele Intestinal Problems.