Hypoglycemia, los yog ntshav qabzib qis, tuaj yeem ua rau peb cov miv txaus ntshai heev. Hypoglycemia hauv miv tuaj yeem tshwm sim los ntawm ntau yam laj thawj, feem ntau yog cov piam thaj poob tam sim ntawd vim kev kho tshuaj insulin siv hauv cov miv mob ntshav qab zib. Lwm qhov ua rau ntau dua lossis tsawg dua yog hypoglycemia hauv cov menyuam yug tshiab, sepsis, kab mob siab, qog nqaij hlav uas tso tawm ntau cov tshuaj insulin, kev yoo mov ntev lossis kab mob uas ua rau tsis muaj zaub mov noj.
Cov tsos mob tuaj yeem muaj xws li mob me me, qhov muag tsis pom kev, thiab qaug zog mus rau cov tsos mob hnyav xws li ataxia, tshee, qaug dab peg, kev nyuaj siab, thiab txawm tias tsis nco qab thiab tuag. Kev kuaj mob yog tsim los ntawm kev kuaj ntshav thiab ntsuas cov piam thaj thiab kev kho mob yuav nrhiav kom rov qab cov ntshav qabzib sai li sai tau. Ua raws li tsab xov xwm no hauv peb lub vev xaib kom paub ntau ntxiv txog hypoglycemia hauv miv, ua rau, tsos mob thiab kev kho mob thov.
hypoglycemia hauv miv yog dab tsi?
Hypoglycemia yog ib qho ntshav qab zib qis (glucose) hauv lub cev cov ntshav. Glucose yog ib qho tseem ceeb ntawm lub zog, thiab cov khoom noj ntawm lub hlwb ntawm peb cov felines.
Thaum cov ntshav qabzib poob, lub cev cov hlwb tsis muaj roj txaus thiab pib failure, tsis nco qab thiab lub neej. miv nyob rau hauv txaus ntshai. Hypoglycemia tsis yog ib yam kab mob, tab sis yog ib qho tsos mob ntawm cov teeb meem hauv qab.
Causes of hypoglycemia hauv miv
Lub ntsiab ua rau mob ntshav qab zib hauv miv yog:
- Kev kho tshuaj insulin tuaj yeem ua rau mob ntshav qab zib mellitus hauv miv.
- qog nqaij hlav ntawm pancreas (insulinoma).
- daim siab mob (lipidosis, neoplasia, portosystemic shunts, glycogen storage disorders).
- Sepsis.
- Feline Infectious Peritonitis.
- Pab plab hnyuv malabsorption.
- Nyob nrawm.
- Cushing's syndrome (hyperadrenocorticism).
- Nkauj tawm tshiab.
- Erythrocytosis (cov ntshav liab nce ntxiv).
- Cov carbohydrates ntau hauv cov zaub mov thiab txo qis hauv cov protein sai sai (cov miv tuaj yeem ua neej nyob zoo nrog cov khoom noj tsawg heev, vim lawv ua ke cov piam thaj nrog cov proteins raws li lawv yog cov carnivores).
- Hypoglycemia hauv cov menyuam miv (lawv feem ntau ua rau nws muaj ntau dua, vim lawv lub siab, uas yog lub luag haujlwm rau stabilizing cov piam thaj, tseem tab tom txhim kho, yog li ntau qhov chaw noj mov, kev ntxhov siab lossis kab mob tuaj yeem ua rau hypoglycemia hauv kittens.).
Feline hypoglycemia cov tsos mob
cov tsos mob uas tuaj yeem ua rau cov ntshav qab zib hauv miv yog:
- Anorexia lossis nce qab los noj mov.
- Pluag pom kev.
- Nyob tsis muaj zog.
- Nkauj tawm tshiab.
- Nkauj tawm tshiab.
- Hlub plawv dhia (tachycardia).
- Qab zog.
- Poob siab tsis nco qab.
- Ataxia.
- Hlub palpitations.
- Nkauj kho siab.
- Txoj kev nyuaj siab.
- Tuag.
Kab mob hypoglycemia hauv miv
Raws li cov tsos mob tsis yog tshwj xeeb, txhawm rau kuaj ntshav qabzib hauv miv, ntshav kuaj yuav tsum tau ua, ntsuas cov piam thaj. Thaum cov ntshav qabzib ntau dua tsawg dua 3.5 mmol/Lkuaj mob hypoglycemia. Txawm li cas los xij, cov tsos mob tshwm sim thiab txhawj xeeb tshaj plaws feem ntau tshwm sim thaum cov ntshav qabzib qis dua 2.8 mmol / L. Ntxiv thiab, peb yuav saib cov hauv qab no:
- Medication dose: Nug seb cov tshuaj noj ntshav qab zib puas siab dhau lawm, tsis tau hloov kho, lossis tau siv tshuaj yuam kev lawm.
- Kev tsis txaus noj haus: Yog tus miv lub cev qhuav dej thiab nyias, xav txog kev noj zaub mov tsis txaus lossis kev yoo mov ntev thiab tshawb xyuas kab mob hauv qab.
- Fever: yog tus miv muaj kub taub hau, yuav tsum xav tias muaj kab mob hauv cov ntshav ua rau qhov teeb meem no, ua rau mob septicemia. Cov kev kuaj sim yuav pom cov leukocytosis (cov qe ntshav dawb nce ntxiv), neutrophilia nrog kev hloov mus rau sab laug, lossis neutropenia nrog cov tshuaj lom neutrophils.
- Blood serum chemistry: Yuav tsum ua kom tiav cov ntshav ntshav chemistry kom nrhiav cov enzymes siab tsis zoo rau tej yam txawv txav hauv siab, ntxiv rau ultrasound nrog sampling yog tias muaj kev hloov pauv tau pom.
- Ultrasound: Lub plab ultrasound yuav ua kom pom cov qog nyob rau hauv pancreas, txoj hnyuv lossis daim siab.
Feline hypoglycemia kho mob
Asymptomatic hypoglycemia yog daws los ntawm kev noj zaub mov noj me me ntau zaus, tshwj xeeb tshaj yog nyob rau hauv kittens. zib ntab kuj tuaj yeem siv rau tus miv daim di ncauj kom tau txais cov piam thaj sai sai.
Thaum tus miv twb tau tsim cov tsos mob hnyav dua lossis tsawg dua ntawm cov tsos mob ntawm hypoglycemia, nws yuav tsum tau coj mus rau urgently mus rau chaw kho tsiaj kev kho mob. Kev kho mob hais tias yuav suav nrog:
- Dextrose serum: kev tswj cov kua dej hauv cov dej dextrose. Kev kho mob sai sai yuav tsum tau sau tseg thiab ntsuas cov piam thaj hauv 5-10 feeb ntawm kev tswj hwm bolus dextrose. Lub glucometer tuaj yeem siv rau qhov ntsuas no, uas tsis tshua muaj kev ntxhov siab rau tus menyuam.
- Corticosteroids: Nyob rau hauv cov ntaub ntawv ntawm insulin overdose nyob rau hauv cov miv mob ntshav qab zib, corticosteroids xws li dexamethasone ntawm ib koob ntawm 0.1 mg yuav tsum tau siv / kg intravenously. los yog prednisolone ntawm ib koob ntawm 0.5 mg / kg ntawm qhov ncauj, txhawm rau tiv thaiv kev ua ntawm insulin.
- Intravenous glucagon infusion: Rau insulin overdose lossis thaum intravenous supplementation tsis ua hauj lwm, ib qho infusion kuj siv tau ntawm cov tshuaj glucagon intravenous.
- Kho Kab Mob: Tom qab tus miv nyob ruaj khov, kev kho tus kab mob hauv qab no, yog tias tam sim no, yuav tsum tau pib kom tsis txhob muaj kev mob ntshav qab zib yav tom ntej uas tuaj yeem ua tau. ua rau peb lub neej txom nyem.
