Kunkuru koda gazawar (TR), nephritis

Alamun: passivity, ƙin cin abinci, jini a ƙarƙashin faranti akan plastron, babu gishiri a cikin fitsari Tuddai: sau da yawa ƙasa Jiyya: Ana ganin alamun a mataki na ƙarshe, lokacin da ya yi latti don magancewa

Dalilai:

Sharuɗɗan da ke taimakawa ga gazawar koda (ƙarin matakan uric acid):

• rashin ruwa (hunturu a karkashin baturi),
• ciyar da ba daidai ba - furotin da yawa (cin abinci, burodi, da dai sauransu), babban abun ciki na furotin a cikin abincin,
• kulawa na dogon lokaci a ƙananan yanayin zafi (a ƙasa),
• rashin bitamin A ko wuce haddi,
• rashin daidaituwa na alli / phosphorus (gabatar da magungunan da ba su dace da kunkuru ko abubuwan da ba daidai ba na calcium),
• amfani da nephrotoxic kwayoyi,
• cututtuka daban-daban na urinary tract da cloaca. Wannan cuta yawanci tana faruwa ne kawai a cikin kunkuru na ƙasa kuma da wuya a cikin na ruwa.

Duk waɗannan abubuwan da ba su da kyau suna haifar da canje-canje masu lalacewa a cikin epithelium na koda, wanda ke haifar da rashin aikin koda - phosphates sun fara tarawa a cikin jiki, kuma matakin calcium ya ragu, rabon calcium zuwa phosphorus yana canzawa daga 3 zuwa 1, zuwa akasin haka. 

Akwai dalilai da yawa na nephropathy a cikin dabbobi masu rarrafe, amma musamman a cikin kunkuru na Asiya ta Tsakiya, galibi ana danganta wannan tare da tsawaita bushewa, rashin bitamin A, tsayin daka a cikin yanayin zafi, yawan furotin a cikin abinci da ciyar da tsire-tsire masu zuwa: fari da farin kabeji, alayyahu, dankali, legumes ( sprouts ciki har da) abarba. Har ila yau, sau da yawa yakan faru bayan, kamar yadda muke kira shi, "haɓaka maras kyau" (rashin tsari, rashin kulawa - a wasu kalmomi, bayan firiji ko ƙarƙashin radiator): uric acid ya ci gaba da samuwa, amma ba a cire shi ba, wanda ke haifar da gazawar koda. (Fitsarin da ba ya narkewa yana toshe tubules na koda).

syndrome

Rashin gazawar koda mai tsanani (ARF) da gazawar renal na yau da kullun (CRF). Likita a alƙawari yawanci yana yin ganewar asali: m ko na kullum cutar koda (ba a bayyana a hankali). Yayin da aka gano ganewar asali, an riga an yi ganewar asali na ƙarshe. Bambance-bambancen suna cikin yanayin cutar, alamun waje, sakamakon gwaji da dabarun magani.

Idan kunkuru na Asiya ta Tsakiya yana da tsari mai tsanani, to, zai fi dacewa ya bushe, ba zai iya ci ba, amma yana iya jin ƙishirwa; yana iya wuce fitsari, amma ba zai ƙunshi gishirin uric acid ("fararen manna") ba. Ba lallai ba ne a yi laushi harsashi. A cikin wani tsari na yau da kullum, za a kuma sami rashin ci, mai yiwuwa rashin fitsari cikakke, kuma za a iya maye gurbin rashin ruwa da kumburi. Harsashi na kunkuru a cikin tsari na yau da kullun zai iya zama mai laushi (mafi girman hanyoyin da ake bayyana rikice-rikice a cikin metabolism na ma'adinai zai haifar da cutar ta bayyana kanta a cikin nau'in matsala, wanda ake kira "rickets" a cikin jama'a). . Hannun hanji, tare da kulawar da aka kiyaye, kusan ba sa motsawa, kuma saboda rauni, kumburi da matakai na "zazzagewa" na nama na kasusuwa, yana iya zama kamar ba su da kasusuwa kwata-kwata (kasusuwa ba su tafi ko'ina ba. suna nan). A mataki na ƙarshe (na ƙarshe - "ma'anar rashin dawowa"), zubar da jini yana faruwa a ƙarƙashin garkuwar plastron (duba hoto), kuma ana iya cire garkuwar kansu da sauƙi (a zahiri). Game da wari: wannan abu ne na zahiri, amma bawanka mai tawali'u ya gaskanta cewa mutumin da ya yi aiki tare da glandar koda mai ƙarewa dole ne ya ji warin irin waɗannan dabbobi kuma ba zai taɓa rikita shi da wani ba.

Kwayar cututtuka:

• kunkuru suna da kiba ko nauyi na yau da kullun kuma yawanci sun ƙi abinci;
• amai na iya faruwa - wata alama ce mai wuyar gaske a cikin kunkuru;
• kunkuru yana da najasa mai wari da fitsari;
• gabobin baya sun kumbura, watakila na gaba. Fatar ta zama kusan m;
• a ƙarƙashin garkuwar plastron, ana iya lura da canjin ruwa (yawanci ba tare da haɗin jini ba);
• yiwuwar bayyanar cututtuka na hypovitaminosis A;
• yiwuwar bayyanar cututtuka na osteomalacia;
• wuyansa na iya kumbura a cikin kunkuru na ƙasa;
• babu gishiri a cikin fitsari.

Kunkuru ya daina cin abinci, da kyar ya yi rarrafe, baya bude idonsa da kyau, yana iya bude baki lokaci-lokaci ya rufe. A cikin gazawar koda da ke hade da nephrocalcinosis (matakin calcium na plasma wanda ya kai 20 zuwa 40 mg/dl), ƙarin alluran salts na calcium zai haifar da mutuwar kunkuru. A mataki na ƙarshe na gazawar koda, duk matakai suna ci gaba da sauri. Girman anemia, ciwon ciwon jini, osteomalacia tafiyar matakai yana haifar da rabuwa da faranti na kasusuwa tare da raguwa da fadowa daga faranti. Abubuwan da ke haifar da mutuwa yawanci sune edema na huhu, pericarditis, ko encephalopathy. Kunkuru a mataki na karshe zai iya rayuwa kwanaki 5-10.

Biochemical kula da jini a cikin dabbobi tare da kafa renal gazawar ya kamata a za'ayi a farkon mataki na far kowane 7-14 kwanaki, bayan daidaita yanayin kowane 2-6 watanni don saka idanu da yanayin da kodan da daidaita far. PN yana bayyana kansa lokacin da kashi 70% na nephrons suka mutu, wato kashi 30% na nama na koda na yau da kullun ya rage. Wannan yana nufin cewa ba shi yiwuwa a warkar da cutar gaba ɗaya, kuma irin waɗannan dabbobin suna buƙatar kulawa da kulawa na tsawon rai.

hankali: Tsarin magani a kan shafin na iya zama Tsoho! Kunkuru na iya samun cututtuka da yawa a lokaci guda, kuma cututtuka da yawa suna da wahalar ganowa ba tare da gwaje-gwajen gwaje-gwaje da likitan dabbobi ba, don haka kafin fara jinya, tuntuɓi asibitin dabbobi tare da amintaccen likitan dabbobi na herpetologist, ko mai ba da shawara kan likitan dabbobi a dandalin.

Jiyya:

“Maganin kula da m da na yau da kullun zai bambanta; yana da rikitarwa, matakai da yawa kuma yana buƙatar saka idanu na tsari ta hanyar nazari - wannan ya sa ya zama dole don canja wurin halin da ake ciki a hannun likitan dabbobi. Yawancin lokaci, maganin jiko, corticosteroids, sake cika bitamin da alli, furosemide a cikin wani tsari na yau da kullum an ba da izini, a gaban alamun kai tsaye, ana iya ba da izinin ƙarin jini. Ana kuma rubuta magungunan antigout. Ana rubuta maganin rigakafi, amma ba koyaushe ba. Hakanan ya shafi Solcoseryl tare da Dicinon: mun sami nasarar aiwatar da jiyya ba tare da waɗannan magunguna biyu ba. A cikin taron cewa gazawar koda ya kai matakin ƙarshe, ko kuma babu wani ingantaccen kuzari don amsa jiyya a cikin makonni 1,5-2, kunkuru ya zama ɗan takarar kai tsaye don euthanasia (euthanasia). Kutorov S.

Tsarin jiyya don PN (kasawar koda):

1. Ringer-Locke ko Hartman's bayani ana allura a ƙarƙashin fata na cinya, kowace rana, 20 ml / kg, ƙara 1 ml / kg na 5% Ascorbic acid zuwa sirinji. Sau 5-6 sau. Ko dai maganin Ringer ko sodium chloride bayani 0,9% tare da 5% Glucose a cikin wani rabo na 1 zuwa 1 a karkashin fata na cinya, kowace rana, 20 ml / kg, ƙara 1 ml / kg na 5% ascorbic acid. sirinji. Sau 5-6 sau. Ko dai (idan kuna buƙatar diuretic) Maganin Ringer tare da 5% Glucose a cikin rabo na 1 zuwa 1 ko maganin Ringer-Locke (10-15 ml / kg) + 0,4 ml / kg Furosimide. A karkashin fata na cinya, kowace rana. sau 4.
2. Vitamin hadaddun Eleovit tare da rashin bitamin a wani sashi na 0,4 ml / kg sau ɗaya kowane mako 2. Sau 2 kawai.
3. Calcium borogluconate ana allura a ƙarƙashin fata na cinya, kowace rana (a sauran ranaku tare da aya ta 1), 0,5 ml / kg ko Calcium gluconate 1 ml / kg tare da ƙarancin calcium. 5 allurai.
4. [Ga kumburin extremities] Dexafort (0,6 ml/kg) a kowace tsoka KO maimakon Dexamethasone 0,4 ml/kg 3-4 days, sa'an nan rage da 2 ml/kg kowane 0,1 kwanaki. Course 8 days.
5. [Mai yiwuwa alƙawari] Antibiotic Baytril 2,5% kowace rana tare da hanya na 7-10 alluran ciki. Dole ne maganin rigakafi ya zama nephrotoxic.
6. [Mai yuwuwar alƙawari] Dicinon kullum a cikin muscularly 5-7 allurai azaman maganin hemostatic. 
7. Yi wanka kullum don minti 40-60 a cikin ruwa + 27-30 C

Tsarin jiyya don gazawar renal mai tsanani (acute renal failure):

1. Ringer-Locke ko Hartman's bayani ana allura a ƙarƙashin fata na cinya, kowace rana, 20 ml / kg, ƙara 1 ml / kg na 5% ascorbic acid zuwa sirinji. Sau 5-6.
2. Dexafort (0,8 ml/kg) zuwa kowane rukunin tsoka. Maimaita bayan makonni 2. OR maimakon Dexamethasone 0,4 ml/kg na tsawon kwanaki 3-4, sannan a rage da 2 ml/kg kowane kwana 0,1. Course 8 days.
3. Calcium borogluconate ana allura a ƙarƙashin fata na cinya, kowace rana (a sauran ranaku tare da aya ta 1), 0,5 ml / kg ko Calcium gluconate 1 ml / kg, allura 5 gabaɗaya.
4. Allopurinol ta baki tare da 1 ml na ruwa mai zurfi a cikin esophagus, kullum, 25 mg / kg, 2-3 makonni (ba za a iya amfani da shi ba tare da bincike da gwajin jini ba)
5. Dicynon 0,2 ml / kg kowace rana, kwanaki 5-7, a cikin kafada (a gaban zub da jini)
6. Ana yin allurar Catosal sau 3, 1 ml/kg a cikin buttock, kowane kwana 4.
7. Yi wanka kullum don minti 40-60 a cikin ruwa + 27-30 C

Don magani kuna buƙatar siyan:

• Maganin Ringer-Locke ( kantin magani na dabbobi) ko Hartmann ko Ringer + Glucose | 1 kwandon | kantin magani na mutum
• Dexafort ko Dexamethasone | kantin magani na mutum
• Ascorbic acid | 1 fakitin ampoules | kantin magani na mutum
• Allopurinol | 1 fakiti | kantin magani na mutum
• Dicynon | 1 fakitin ampoules | kantin magani na mutum
• Calcium borogluconate | 1 kwandon | kantin magani na dabbobi
• Catosal | 1 kwandon | kantin magani na dabbobi
• Sirinji 1 ml, 2 ml, 10 ml | kantin magani na mutum

Yana yiwuwa a yi amfani da Hepatovet (dakatar da dabbobi). Duba tare da likitan dabbobi.