Kulephera kwa impso (TR), nephritis

zizindikiro: passivity, kukana kudya, magazi pansi pa mbale pa plastron, palibe mchere mu mkodzo Akamba: nthawi zambiri kutera chithandizo: zizindikiro zimawonekera pagawo lomaliza, pamene nthawi yatha kuchiza

Zifukwa:

Zomwe zimayambitsa kulephera kwa impso (kuchuluka kwa uric acid):

• kuchepa madzi m'thupi (kuzizira pansi pa batri),
• kudyetsa mosayenera - mapuloteni ochulukirapo (kudyetsa nyama, mkate, ndi zina), kuchuluka kwa mapuloteni muzakudya,
• kukonza kwa nthawi yayitali pa kutentha kochepa (pansi),
• kusowa kwa vitamini A kapena kuchuluka kwake,
• kusalinganika kwa calcium / phosphorous (kuyambitsa mankhwala omwe sali oyenera kamba kapena olakwika calcium zowonjezera),
• kugwiritsa ntchito mankhwala a nephrotoxic,
• matenda osiyanasiyana amkodzo thirakiti ndi cloaca. Matendawa nthawi zambiri amapezeka mu akamba akudziko ndipo kawirikawiri amapezeka m'madzi.

Zinthu zonsezi zimabweretsa kusintha kowononga mu epithelium yaimpso, yomwe imayambitsa kuwonongeka kwa aimpso - ma phosphates amayamba kudziunjikira m'thupi, ndipo kuchuluka kwa kashiamu kumatsika, chiŵerengero cha kashiamu ndi phosphorous chimasintha kuchokera ku 3 mpaka 1, mosiyana. 

Pali zifukwa zingapo za nephropathy mu zokwawa, koma makamaka akamba aku Central Asia, izi nthawi zambiri zimagwirizanitsidwa ndi kutaya madzi m'thupi kwa nthawi yayitali, kusowa kwa vitamini A, kukonza kwanthawi yayitali pa kutentha kochepa, kuchuluka kwa mapuloteni muzakudya ndikudyetsa mbewu zotsatirazi: woyera ndi kolifulawa, sipinachi, mbatata, nyemba (zomera kuphatikizapo) chinanazi. Zimapezekanso nthawi zambiri pambuyo, monga momwe timatchulira, "kugona modzidzimutsa" (osakonzekera, kubisala kosalamulirika - mwa kuyankhula kwina, kumbuyo kwa firiji kapena pansi pa radiator): uric acid ikupitiriza kupanga, koma sichichotsedwa, zomwe zimayambitsa kulephera kwa impso. (mkodzo wosasungunuka umatsekereza minyewa yaimpso).

Syndrome

Acute aimpso kulephera (ARF) ndi matenda aimpso kulephera (CRF). Dokotala pa nthawi yosankhidwa nthawi zambiri amapanga matenda mongoganizira: matenda oopsa kapena aakulu a impso (osafotokozedwa bwino). Pamene matendawa apangidwa, matenda omaliza apangidwa kale. Kusiyanasiyana kuli m'kati mwa matendawa, zizindikiro zakunja, zotsatira za mayesero ndi njira zothandizira.

Ngati torto ya ku Central Asia ili ndi ndondomeko yowonongeka, ndiye kuti ikhoza kukhala yopanda madzi, sichidzakhala ndi njala, koma ikhoza kukhala ndi ludzu; ikhoza kudutsa mkodzo, koma sichikhala ndi mchere wa uric acid ("phala loyera"). Chigobacho sichidzafewetsedwa. Muzochitika zosatha, padzakhalanso kusowa kwa njala, mwinamwake kusakhalapo kwathunthu kwa kukodza, ndipo kutaya madzi m'thupi kungalowe m'malo ndi kutupa. Chigoba cha kamba mu njira yayitali chikhoza kukhala chofewa (kuchuluka kwa njira za kusokonezeka kwa mineral metabolism kumapangitsa kuti matendawa adziwonetsere ngati vuto, lomwe limatchedwa "rickets" mwa anthu wamba) . Miyendo yakumbuyo, yokhala ndi chidwi chosungidwa, pafupifupi sichisuntha, ndipo chifukwa cha kufooka, kutupa ndi njira za "kukokoloka" kwa fupa la mafupa, zingawonekere kunja kuti alibe mafupa konse (mafupa sanapite kulikonse, zili pamalopo). Pa siteji yotsiriza (pomaliza - "mfundo yosabwerera"), kutaya magazi kumachitika pansi pa zishango za plastron (onani chithunzi), ndipo zishangozo zimatha kuchotsedwa mosavuta (kwenikweni). Pankhani ya fungo: izi ndizokhazikika, koma wantchito wanu wodzichepetsa amakhulupirira kuti munthu amene amagwira ntchito ndi impso yomaliza ayenera kuti anamva fungo la nyama zoterezi ndipo sadzasokoneza ndi zina.

Zizindikiro:

• akamba ali onenepa kwambiri kapena kulemera kwabwinobwino ndipo nthawi zambiri amakana chakudya;
• kusanza kumatha kuchitika - chizindikiro chosowa kwambiri mu akamba;
• kamba ali ndi ndowe ndi mkodzo wonunkha kwambiri;
• miyendo yakumbuyo imatupa, mwina yakutsogolo. Khungu limakhala pafupifupi mandala;
• pansi pa zishango za plastron, kusinthasintha kwamadzimadzi kumawonekera (nthawi zambiri popanda kusakanikirana kwa magazi);
• zotheka zizindikiro za hypovitaminosis A;
• zotheka zizindikiro za osteomalacia;
• khosi likhoza kutupa mu akamba akumtunda;
• mulibe mchere mumkodzo.

Kamba amasiya kudya, samakwawa, samatsegula maso ake bwino, amatha kutsegula ndi kutseka pakamwa pake nthawi ndi nthawi. Kulephera kwa aimpso komwe kumayenderana ndi nephrocalcinosis (ma calcium m'magazi okwera mpaka 20 mpaka 40 mg/dl), jakisoni wowonjezera wa mchere wa calcium amatha kufa kamba. Mu gawo lomaliza la aimpso kulephera, njira zonse zimayenda mofulumira. Kukula magazi m'thupi, hemorrhagic syndrome, osteomalacia njira kumabweretsa kulekana kwa mbale mafupa pamodzi seams ndi kugwa kwa mbale nyanga. Zomwe zimayambitsa imfa nthawi zambiri zimakhala pulmonary edema, pericarditis, kapena encephalopathy. Kamba mu gawo lomaliza amatha kukhala masiku 5-10.

Zamoyo zam'magazi kuwongolera magazi kwa nyama zomwe zakhazikitsidwa aimpso kulephera kuyenera kuchitidwa pagawo loyambirira la mankhwala masiku 7-14 aliwonse, kukhazikika kwa chikhalidwecho pakatha miyezi 2-6 iliyonse kuwunika mkhalidwe wa impso ndikusintha chithandizo. PN imadziwonetsera pamene 70% ya nephrons imwalira, ndiye kuti, 30% yokha ya minofu yaimpso yomwe imagwira ntchito bwino imakhalabe. Izi zikutanthauza kuti n'zosatheka kuchiza matendawa, ndipo nyama zotere zimafunikira kuyang'aniridwa ndi chithandizo kwa moyo wonse.

chisamaliro: The regimens mankhwala pa malo angakhale osatha! Kamba akhoza kukhala ndi matenda angapo nthawi imodzi, ndipo matenda ambiri ndi ovuta kuwazindikira popanda kuyezetsa ndi kufufuza ndi veterinarian, choncho, musanayambe kudzipangira nokha, funsani chipatala cha Chowona Zanyama ndi dokotala wodalirika wa herpetologist, kapena mlangizi wathu wazowona zanyama pabwaloli.

Chithandizo:

“Kuchiza kwa matenda owopsa komanso osachiritsika kudzakhala kosiyana; ndizovuta kwambiri, zamagulu ambiri ndipo zimafuna kuwunika mwadongosolo kudzera mu kusanthula - izi zimapangitsa kuti zikhale zofunikira kusamutsira vutoli m'manja mwa veterinarian. Nthawi zambiri, kulowetsedwa, corticosteroids, kubwezeretsanso mavitamini ndi calcium, furosemide mu njira yayitali imayikidwa, pamaso pa ziwonetsero zachindunji, kuikidwa magazi kumatha kuperekedwa. Mankhwala a antigout amaperekedwanso. Ma antibiotic amaperekedwa, koma osati nthawi zonse. Zomwezo zimagwiranso ntchito kwa Solcoseryl yokhala ndi Dicinon: timachita bwino popanda mankhwala awiriwa. Kukachitika kuti kulephera kwaimpso kwafika pachimake, kapena palibe mphamvu zabwino poyankha chithandizo mkati mwa milungu 1,5-2, kambayo amakhala woimira mwachindunji wa euthanasia (euthanasia). Kutorov S.

Chithandizo cha PN (kulephera kwaimpso):

1. Njira ya Ringer-Locke kapena Hartman imayikidwa pansi pa khungu la ntchafu, tsiku lililonse, 20 ml / kg, ndikuwonjezera 1 ml / kg ya 5% ascorbic acid ku syringe. 5-6 nthawi. Njira ya Ringer kapena sodium chloride solution 0,9% pamodzi ndi 5% shuga mu chiŵerengero cha 1 mpaka 1 pansi pa khungu la ntchafu, tsiku lililonse 20 ml / kg, kuwonjezera 1 ml / kg ya 5% ascorbic acid. syringe. 5-6 nthawi. Kaya (ngati mukufuna okodzetsa) yankho la Ringer ndi 5% Glucose mu chiŵerengero cha 1 mpaka 1 kapena njira ya Ringer-Locke (10-15 ml / kg) + 0,4 ml / kg Furosimide. Pansi pa khungu la ntchafu, tsiku lililonse. 4 nthawi.
2. Vitamini complex Eleovit ndi kusowa kwa mavitamini pa mlingo wa 0,4 ml / kg kamodzi pa masabata awiri aliwonse. Nthawi 2 zokha.
3. Calcium borogluconate imayikidwa pansi pa khungu la ntchafu tsiku lililonse (masiku ena ndi mfundo 1), 0,5 ml / kg kapena Calcium gluconate 1 ml / kg ndi kusowa kwa calcium. 5 jakisoni.
4. [Kutupa kwa malekezero] Dexafort (0,6 ml/kg) mu minofu iliyonse OR m'malo Dexamethasone 0,4 ml/kg 3-4 masiku, ndiye kuchepetsa ndi 2 ml/kg aliyense 0,1 masiku. Maphunziro 8 masiku.
5. [Kusankhidwa kotheka] Antibiotic Baytril 2,5% tsiku lililonse ndi njira ya 7-10 jakisoni intramuscularly. Maantibayotiki sayenera kukhala nephrotoxic.
6. [N'zotheka kusankhidwa] Dicinon tsiku lililonse intramuscularly 5-7 jakisoni ngati hemostatic mankhwala. 
7. Sambani tsiku lililonse kwa mphindi 40-60 m'madzi + 27-30 C

Njira zochizira pachimake aimpso kulephera (acute aimpso kulephera):

1. Njira ya Ringer-Locke kapena Hartman imayikidwa pansi pa khungu la ntchafu, tsiku lililonse, 20 ml / kg, ndikuwonjezera 1 ml / kg ya 5% ascorbic acid ku syringe. 5-6 nthawi.
2. Dexafort (0,8 ml / kg) ku gulu lililonse la minofu. Bwerezani pambuyo pa masabata awiri. KAPENA m'malo mwa Dexamethasone 2 ml/kg kwa masiku 0,4-3, kenaka muchepetse ndi 4 ml/kg pamasiku 2 aliwonse. Maphunziro 0,1 masiku.
3. Calcium borogluconate imabayidwa pansi pa khungu la ntchafu, tsiku lililonse (masiku ena ndi mfundo 1), 0,5 ml / kg kapena Calcium gluconate 1 ml / kg, jekeseni 5.
4. Allopurinol pakamwa ndi 1 ml ya madzi akuya mum'mero, tsiku lililonse, 25 mg/kg, 2-3 milungu.sangathe kugwiritsidwa ntchito popanda diagnostics ndi magazi)
5. Dicynon 0,2 ml/kg tsiku lililonse, masiku 5-7, paphewa (pamaso pa magazi)
6. Catosal jekeseni katatu, 3 ml/kg m'tako, masiku 1 aliwonse.
7. Sambani tsiku lililonse kwa mphindi 40-60 m'madzi + 27-30 C

Pazamankhwala muyenera kugula:

• Njira ya Ringer-Locke (mankhwala azinyama) kapena Hartmann kapena Ringer + Glucose | 1 botolo | pharmacy ya anthu
• Dexafort kapena Dexamethasone | pharmacy ya anthu
• Ascorbic asidi | 1 paketi yama ampoules | pharmacy ya anthu
• Allopurinol | 1 paketi | pharmacy ya anthu
• Dicinon | 1 paketi yama ampoules | pharmacy ya anthu
• Calcium borogluconate | 1 botolo | Chowona Zanyama pharmacy
• Katosa | 1 botolo | Chowona Zanyama pharmacy
• Syringe 1 ml, 2 ml, 10 ml | pharmacy ya anthu

Ndizotheka kugwiritsa ntchito Hepatovet (kuyimitsidwa kwa Chowona Zanyama). Fufuzani ndi veterinarian wanu.