I-Turtle kidney failure (TR), i-nephritis

Izimpawu: ukungabi nalutho, ukwenqaba ukudla, igazi ngaphansi kwamapuleti ku-plastron, akukho usawoti emchameni Izifudu: ngokuvamile umhlaba Ukwelashwa: izimpawu zibonakala esigabeni sokugcina, uma sekwephuze kakhulu ukwelapha

Izizathu:

Izimo ezinomthelela ekuhlulekeni kwezinso (ukwenyuka kwamazinga e-uric acid):

• ukuphelelwa amanzi emzimbeni (ubusika ngaphansi kwebhethri),
• ukudla okungalungile - amaprotheni amaningi (ukudla inyama, isinkwa, njll.), okuqukethwe kwamaprotheni amaningi ekudleni,
• ukugcinwa isikhathi eside emazingeni okushisa aphansi (phansi),
• ukuntuleka kwevithamini A noma ukweqisa kwayo,
• ukungalingani kwe-calcium / phosphorus (ukwethulwa kwezidakamizwa ezingafanele ufudu noma izithako ze-calcium ezingalungile),
• ukusetshenziswa kwezidakamizwa ze-nephrotic,
• izifo ezihlukahlukene zomgudu womchamo kanye ne-cloaca. Lesi sifo sivamise ukuvela ezimfudumeni zasemhlabeni kuphela futhi akuvamile ukuba khona kwezihlala emanzini.

Zonke lezi zici ezingathandeki zenza izinguquko ezilimazayo ku-epithelium ye-renal, okuholela ekusebenzeni okungalungile kwezinso - ama-phosphates aqala ukuqoqa emzimbeni, futhi izinga le-calcium liyehla, isilinganiso se-calcium kuya ku-phosphorus sishintsha kusuka ku-3 kuya ku-1, kuya kokuphambene. 

Kunezizathu eziningana ze-nephropathy ezilwaneni ezihuquzelayo, kodwa ikakhulukazi e-Central Asian turtles, lokhu kuvame ukuhlotshaniswa nokuphelelwa amandla kwamanzi isikhathi eside, ukuntuleka kwe-vitamin A, ukugcinwa isikhathi eside emazingeni okushisa aphansi, ukweqisa kwamaprotheni ekudleni nokondla izitshalo ezilandelayo: umhlophe nokholifulawa, isipinashi, amazambane, imidumba (amahlumela okuhlanganisa) uphayinaphu. Kubuye kuvame ukwenzeka ngemva, njengoba sikubiza ngokuthi, "ukulala okuzenzakalelayo" (ukulala okungahleliwe, okungalawulwa - ngamanye amazwi, ngemuva kwesiqandisi noma ngaphansi kwe-radiator): i-uric acid iyaqhubeka yakheka, kodwa ayikhishwa, okuholela ekuhlulekeni kwezinso. (umchamo ongancibiliki uvimba amashubhu ezinso).

I-Syndrome

Ukuhluleka kwe-renal acute (ARF) kanye nokwehluleka kwe-renal okungapheli (CRF). Udokotela ngesikhathi sokuqokwa ngokuvamile wenza ukuxilongwa okucatshangelwayo: isifo sezinso esibucayi noma esingamahlalakhona (asichazwa ngokuseduze). Njengoba ukuxilongwa kwenziwa, ukuxilongwa kokugcina sekuvele kwenziwa. Umehluko usendleleni yesifo, izimpawu zangaphandle, imiphumela yokuhlolwa kanye namasu okwelapha.

Uma ufudu lwase-Asia Ephakathi lunenqubo enzima, khona-ke cishe luzophelelwa amanzi, ngeke lube nesifiso sokudla, kodwa lungase lome; ingase iphume nomchamo, kodwa ngeke ibe nosawoti we-uric acid (“unamathisele omhlophe”). Igobolondo ngeke nakanjani lithanjiswe. Enqubweni engapheli, kuzoba nokuntula ukudla, cishe ukungabikho okuphelele kokuchama, futhi ukuphelelwa amanzi emzimbeni kungase kuthathelwe indawo ukuvuvukala. Igobolondo le-turtle enkambweni engapheli cishe lizoba thambile (ubukhulu bezinqubo zokuphazamiseka okukhulunywe yi-mineral metabolism kuzobangela ukuthi lesi sifo sibonakale ngendlela yenkinga, ebizwa ngokuthi "rickets" kubantu abavamile) . Imilenze yangemuva, enokuzwela okulondoloziwe, cishe ayinyakazi, futhi ngenxa yobuthakathaka, ukuvuvukala kanye nezinqubo "zokuguguleka" kwezicubu zethambo, kungase kubonakale sengathi azinawo nhlobo amathambo (amathambo awazange ahambe noma kuphi, zisendaweni). Esiteji sokugcina (esokugcina - "iphuzu lokungabuyi"), ukuphuma kwegazi kwenzeka ngaphansi kwezihlangu ze-plastron (bheka isithombe), futhi izihlangu ngokwazo zingasuswa kalula (ngokoqobo). Ngokuphathelene nephunga: lokhu ku-subjective, kodwa inceku yakho ethobekile ikholelwa ukuthi umuntu osebenza ne-renal kidney gland kumele azwe iphunga elivela ezilwaneni ezinjalo futhi akasoze adidanisa nanoma iyiphi enye.

izimpawu:

• izimfudu zikhuluphele noma zinesisindo esivamile futhi ngokuvamile ziyenqaba ukudla;
• ukuhlanza kungase kwenzeke - uphawu olungavamile kakhulu kuma-turtles;
• ufudu lunendle nomchamo onuka kakhulu;
• izitho zangemuva ziyavuvukala, mhlawumbe ezangaphambili. Isikhumba siba cishe obala;
• ngaphansi kwezihlangu ze-plastron, ukuguquguquka koketshezi kubonakala (ngokuvamile ngaphandle kokuhlanganiswa kwegazi);
• izimpawu ezingenzeka ze-hypovitaminosis A;
• izimpawu ezingenzeka ze-osteomalacia;
• intamo ingase ivuvuke izimfudu;
• awekho usawoti emchameni.

Ufudu luyeka ukudla, alukaze lukhase, aluwavuli kahle amehlo alo, lungakwazi ukuvula nokuvala umlomo ngezikhathi ezithile. Ekuhlulekeni kwezinso okuhambisana ne-nephrcalcinosis (amazinga e-calcium e-plasma afinyelela ku-20 kuya ku-40 mg/dl), imijovo eyengeziwe kasawoti we-calcium izobangela ukufa kofudu. Esigabeni sokugcina sokuhluleka kwezinso, zonke izinqubo zithuthuka ngokushesha. I-anemia ekhulayo, i-hemorrhagic syndrome, izinqubo ze-osteomalacia ziholela ekuhlukaniseni amapuleti amathambo eduze kwe-seams kanye nokuwa kwamapuleti anezimpondo. Izimbangela zokufa ngokuvamile kuba i-pulmonary edema, i-pericarditis, noma i-encephalopathy. I-turtle esigabeni sokugcina iyakwazi ukuphila izinsuku ezingu-5-10.

Ukulawulwa kwe-biochemical yegazi ezilwaneni ezinokwehluleka kwezinso okuqinisekisiwe kufanele kwenziwe esigabeni sokuqala sokwelashwa njalo ezinsukwini ezingama-7-14, ngemuva kokuqiniswa kwesimo njalo ezinyangeni ezingama-2-6 ukuqapha isimo sezinso nokulungisa ukwelashwa. I-PN izibonakalisa lapho kufa ama-70% ama-nephron, okungukuthi, kusele kuphela ama-30% ezicubu zezinso ezisebenza ngokujwayelekile. Lokhu kusho ukuthi akunakwenzeka ukwelapha ngokuphelele lesi sifo, futhi izilwane ezinjalo zidinga ukuqapha nokwelashwa impilo yonke.

QAPHELA: Imithi yokwelapha esizeni ingaba Engasebenzi! Ufudu lungaba nezifo eziningana ngesikhathi esisodwa, futhi izifo eziningi kunzima ukuzixilonga ngaphandle kokuhlolwa nokuhlolwa ngudokotela wezilwane, ngakho-ke, ngaphambi kokuqala ukuzelapha, thintana nomtholampilo wezilwane nodokotela wezilwane othembekile we-herpetologist, noma umeluleki wethu wezilwane esithangamini.

Ukwelashwa:

“Ukwelashwa kwezinqubo ezibucayi nezingamahlalakhona kuzohluka; iyinkimbinkimbi impela, inezigaba eziningi futhi idinga ukuqapha okuhlelekile ngokuhlaziya - lokhu kwenza kube nesidingo sokudlulisela isimo ezandleni zikadokotela wezilwane. Ngokuvamile, ukwelashwa kwe-infusion, i-corticosteroids, ukugcwaliswa kwamavithamini ne-calcium, i-furosemide enqubweni engapheli inqunywe, phambi kwezinkomba eziqondile, ukumpontshelwa igazi kunganqunywa. Imithi ye-Antigout nayo inqunywe. Ama-antibiotic anqunyelwe, kodwa hhayi njalo. Okufanayo kuyasebenza kuSolcoseryl nge-Dicinon: sikwenza ngempumelelo ukwelashwa ngaphandle kwale mithi emibili. Esimweni lapho ukwehluleka kwezinso kufinyelele esigabeni sokugcina, noma kungekho mandla ashukumisayo ekuphenduleni ukwelashwa phakathi kwamaviki angu-1,5-2, ufudu luba yikhandidethi eliqondile le-euthanasia (euthanasia). Kutorov S.

Umuthi wokwelapha we-PN (ukwehluleka kwezinso):

1. Isixazululo se-Ringer-Locke noma i-Hartman sijova ngaphansi kwesikhumba sethanga, zonke ezinye izinsuku, i-20 ml / kg, yengeza i-1 ml / kg ye-5% ascorbic acid kusinja. 5-6 izikhathi. Isixazululo sikaRinger noma i-Sodium Chloride 0,9% kanye no-5% weGlucose ngesilinganiso esingu-1 kuye ku-1 ngaphansi kwesikhumba sethanga, njalo ngolunye usuku, 20 ml / kg, engeza i-1 ml / kg ye-5% ascorbic acid umjovo. 5-6 izikhathi. Kuphakathi (uma udinga i-diuretic) isisombululo se-Ringer esino-5% weGlucose esilinganisweni sika-1 kuya ku-1 noma isisombululo sikaRinger-Locke (10-15 ml / kg) + 0,4 ml / kg Furosimide. Ngaphansi kwesikhumba sethanga, zonke izinsuku. 4 izikhathi.
2. I-Vitamin eyinkimbinkimbi i-Eleovit ngokuntula amavithamini kumthamo we-0,4 ml / kg kanye njalo emavikini ama-2. Izikhathi ezi-2 kuphela.
3. I-calcium borogluconate ijova ngaphansi kwesikhumba sethanga, zonke izinsuku (ngezinye izinsuku ngephuzu 1), 0,5 ml / kg noma i-Calcium gluconate 1 ml / kg ngokuntuleka kwe-calcium. 5 imijovo.
4. [Ngokuvuvukala kwamaphethelo] I-Dexafort (0,6 ml/kg) kunoma yimuphi umsipha NOMA esikhundleni salokho i-Dexamethasone 0,4 ml/kg izinsuku ezingu-3-4, bese yehla ngo-2 ml/kg njalo ezinsukwini ezingu-0,1. Isifundo izinsuku ezingu-8.
5. [Ukuqokwa okungenzeka] I-Antibiotic Baytril 2,5% njalo ngolunye usuku ngenkambo ye-7-10 imijovo nge-intramuscularly. I-antibiotic akufanele ibe nephrotoxic.
6. [Ukuqokwa okungenzeka] Imijovo ye-Dicinon nsuku zonke nge-intramuscularly 5-7 njengomuthi we-hemostatic. 
7. Geza nsuku zonke imizuzu engama-40-60 emanzini + 27-30 C

Imithi yokwelashwa yokwehluleka kwe-renal acute (ukwehluleka kwe-renal acute):

1. Isixazululo se-Ringer-Locke noma i-Hartman sijova ngaphansi kwesikhumba sethanga, zonke ezinye izinsuku, i-20 ml / kg, ingeza i-1 ml / kg ye-5% ascorbic acid kusinja. 5-6 izikhathi.
2. I-Dexafort (0,8 ml/kg) kunoma yiliphi iqembu lemisipha. Phinda ngemva kwamaviki ama-2. NOMA esikhundleni salokho i-Dexamethasone 0,4 ml/kg izinsuku ezingu-3-4, bese yehla ngo-2 ml/kg njalo ezinsukwini ezingu-0,1. Isifundo izinsuku ezingu-8.
3. I-calcium borogluconate ijova ngaphansi kwesikhumba sethanga, zonke ezinye izinsuku (ngezinye izinsuku ngephuzu 1), 0,5 ml / kg noma i-Calcium gluconate 1 ml / kg, imijovo emi-5 isiyonke.
4. I-Allopurinol ngomlomo no-1 ml wamanzi ekujuleni komphimbo, nsuku zonke, 25 mg/kg, amasonto ama-2-3 (ayikwazi ukusetshenziswa ngaphandle kokuxilongwa nokuhlolwa kwegazi)
5. I-Dicynon 0,2 ml/kg nsuku zonke, izinsuku ezingu-5-7, ehlombe (lapho kukhona ukopha)
6. I-Catosal ijova izikhathi ezi-3, i-1 ml/kg esinqeni, njalo ezinsukwini ezi-4.
7. Geza nsuku zonke imizuzu engama-40-60 emanzini + 27-30 C

Ukuze uthole ukwelashwa udinga ukuthenga:

• Isixazululo se-Ringer-Locke (ikhemisi lezilwane) noma i-Hartmann noma i-Ringer + Glucose | 1 ibhodlela | ikhemisi labantu
• I-Dexafort noma i-Dexamethasone | ikhemisi labantu
• Ascorbic acid | 1 iphakethe lama-ampoules | ikhemisi labantu
• I-Allopurinol | 1 iphakethe | ikhemisi labantu
• Dicynon | 1 iphakethe lama-ampoules | ikhemisi labantu
• I-calcium borogluconate | 1 ibhodlela | ikhemisi lezilwane
• I-Catosal | 1 ibhodlela | ikhemisi lezilwane
• Amasirinji 1 ml, 2 ml, 10 ml | ikhemisi labantu

Kungenzeka ukusebenzisa i-Hepatovet (ukumiswa kwezilwane). Hlola nodokotela wakho wezilwane.