Avũ Mi Bli ƒe Kpe, Sox, Koklozi ƒe Ƒu si Woɖa, alo Macadamia Nuts: Ɣekaɣie Wòahe Aɖuɖɔtoe vs Mègaɖe Aɖuɖɔ Gbeɖe O¶

Ne avu aɖe dze barbecue gbeɖuɖɔ, nudzadzraɖokusi, alo numeɖekplɔ̃ dzi eye wòmi **koklozi alo akɔtaƒu si woɖa, bli kakɛ aɖe si le lãgbalẽgolo dzi, sox alo awu te, peach alo avocado do blibo aɖe, alo macadamia nukuwo ** la, kpekpeɖeŋunana gbãtɔ ƒe nyametsotso si mesɔ o wɔwɔ le miniti 10 gbãtɔwo me ate ŋu atrɔ nusi dzi woate ŋu akpɔ nuɖuɖua ɖuɖu ɖe akɔta alo ƒodo ƒe afɔku si wua ame me. Vodada ɖeka si me afɔku le wu si aƒemelãwo tɔ wɔnae nye wokɔa haidrodzin peroxide 3 le alafa me ɖe avu ƒe ŋɔti me ŋkumaʋumaʋui be wòana woaɖe ƒu ɖaɖɛ si woɖa, nu gã aɖe si ƒe ɖa le abe lãfu ene, alo bli ƒe aŋgba: esime ƒu ɖaɖɛ aɖe ƒua ɖiɖi zi geɖe le nuɖuɖutome eye eƒe nugbɔ si le ɖaɖɛ la nɔa megbe, si zia avu la dzi be wòakɔe ɖe dzi ŋutasesẽtɔe agbugbɔ ayi dzi ɖe nuɖuɖutome ƒe lãkusi si le ete la kplɔa ƒu siwo le abe aŋe ene la toa nuɖuɖutome ƒe gli si te ɖe dzia kple lãkusi ŋu tututu la me tẽ (thoracic esophageal perforation and septic pyothorax). Le go bubu me la, ne avu mi avɔ falɛfalɛ aɖe sox le miniti 60 mamlɛawo me la, lãwo ƒe dɔlélenutsiŋutete hena vɛ (or endoscopic retrieval) ate ŋu aɖe avu la tso amekoko ƒe dɔgbo ƒe ʋuʋu si xɔ asi me, evɔ avu si ɖu macadamia nukuwo ya xɔa afɔkpodzi ƒe lãmetutudɔ hena ɣeyiɣi aɖe si wɔ nuku, si doa vɔvɔ̃ na ame le gaƒoƒo 6 va ɖo 12 me si dzena abe aklã ƒe ʋuʋu ene (yet has a near-100-percent recovery rate with supportive care). Ne wò aƒemelã le ʋuʋum vevie, le nu ƒom, le afɔ ƒom le eƒe nu me, alo le blɔ trɔm la, ke dze mía tɔ yome avu alo avu si le nu ƒom: aƒemelã Heimlich kple CPR protocol enumake (eye nàkpɔ wo katã xexlẽdzesi siwo wozãna kpata); ne menye nenema o la, zã amekoko kple aɖiŋutinunya ƒe vovototodedeameme ƒe mɔfiame sia kpe ɖe eŋu avu ɖu xylitol, tsokolet, weintsetse, alo ibuprofen kple avu ɖua liliti, permethrin, alo ka si le fli me.

Wɔ esia fifia¶

1. DZUDZƆ: Kpɔ "NEVER Induce Vomiting" List la ɖa hafi nàɖo asi hydrogen peroxide gbɔ. Mègana ʋuʋudedi na avu alo avu GBEÐE o ne womi:
2. Koklolã, Haƒoƒo, Akɔta, Lãgbalẽ, alo Tɔmelã ƒe Ƒu siwo Woɖa (egbãna zua kakɛ siwo le ɖaɖɛ abe aŋe ene siwo vuvu nuɖuɖutome ne wotrɔ yi dzi).
3. Wood Skewers, Toothpicks, Sewing Needles, Fishhooks, Glass, or Sharp Plastic.
4. Caustic Atikewo, Batriwo, alo Aminuwo.
5. Nu ɖesiaɖe si le Brachycephalic (Flat-Faced) Dog me (English Bulldog, French Bulldog, Pug, Boston Terrier, Shih Tzu, Boxer: afɔku gã aɖe ŋutɔ be woaxɔ aklãdɔ si wua ame ne wole ʋu ɖum le aƒeme).
6. CAT ɖesiaɖe (Never give 3% hydrogen peroxide to a cat): Le avuwo gome la, hydrogen peroxide si woano hea ʋu si dona le ame ŋu, necroulcerative gastritis kple nuɖuɖutome ƒe abi si wua ame (30% mortality in feline case reports).
7. Avu ɖesiaɖe si le kuvia wɔm xoxo, le ʋuʋum, si gbɔdzɔ le megbefɔwo me (such as after eating macadamia nuts), alo le eɖokui si xoxo.
8. Ne ɖeko wò avu mi Koklolã, Turkey, Haƒoƒo, alo Akɔtaƒu si Woɖa (and is breathing/swallowing normally), na nuɖuɖu "Bulky Bread / Mashed Potato Cushion" eye nàyɔ wò lãmesẽdɔwɔla.
9. Nusitae nuɖaɖa trɔa ƒuwo wozua akplɔ siwo le abe ahuhɔ̃e ene: Nuɖaɖa (roasting, boiling, frying, smoking, or microwaving) ɖea kolagen ƒe tsi ɖa le ƒu ƒe ƒuƒoƒo me eye wòtsɔa mineral hydroxyapatite kristaloawo ƒoa ƒui, si wɔnɛ be ƒu siwo woɖa la gbãna ale be wogbãna le didime nu zua teƒe siwo ɖa abe lãgbalẽŋudɔwɔnu ene ne avu ƒe aɖu siwo le abe lãgbalẽ ene ƒo wo.
10. Cushioning ƒe Ðoɖowɔɖi (Only if the dog is NOT gagging, drooling, or retching): Yɔ wò lãmesẽdɔwɔla enumake; le ƒu kakɛ siwo woɖa sue va ɖo titina siwo ɖo ƒodo me xoxo gome la, lãmesẽdɔwɔlawo ɖoa aɖaŋu edziedzi be woana nuɖuɖu si lolo, falɛfalɛ, si me fibre sɔ gbɔ ɖo enumake - abe abolo ɣi falɛfalɛ alo lu blibo kakɛ 2 va ɖo 4, mɔli ƒuƒu si woɖa gbadzaa, mɔli si wotsɔ gaze me ƒuƒlu (not pie filling), alo bli ɣi/oatmeal si woɖa** - si xatsa ƒu ƒe kakɛ ɖaɖɛ siwo le dɔgboa me abe ametakpɔnu ene esime dɔgboa me hydrochloric acid (pH 1.0 to 2.0, si sesẽ wu amegbetɔ ƒe dɔgbo me acid sãsãsã) dzea ƒu ƒe go siwo le tsɛ wu la ɖeɖeɖa kple wo bɔbɔ gɔme ne èle mɔ dzi yina atikewɔƒe be woawɔ X-ray.
11. Ne wò avu mi Corn Cob, Whole Peach/Nectarine/Avocado Pit, alo Rubber Toy (Do NOT wait for vomiting to start). To vovo na koklozi ƒe ƒu siwo woɖa (siwo ƒodo me acid ate ŋu alɔ eƒe akpa aɖe), a bli (bli) ƒe ƒuƒoƒo (even a 3-centimeter / 1-inch mini-cob round), peach stone, alo mango/avocado do nye nusi womate ŋu aɖu o 100 le alafa me. Dɔgbo me acid mate ŋu ana bli ƒe aŋgba fa milimeta ɖeka pɛ hã o, eye eƒe anyitsi si le ƒuƒlu si le ʋuʋum la léa dɔgbo suea ƒe nutsyɔnu (jejunum/ileum) abe Velcro ene, si ƒoa aŋe to dɔgboa ƒe gli me eye wònana mɔ̃wo xea mɔ na wo keŋkeŋ. Ƒo ka na wò lãmesẽdɔwɔla alo gaƒoƒo 24 ƒe lãmesẽdɔwɔla ER le gaƒoƒo 1 va ɖo 4 gbãtɔwo me esime lãvi alo doa gakpɔtɔ bɔbɔ nɔ dɔgboa me afisi woate ŋu axɔe le kple endoscope si te ŋu trɔna bɔbɔe (without cutting open the abdomen).
12. Ne wò avu mi Sock, Underwear, Dish Towel, alo Pantyhose (Within the Last 1 to 2 Hours). Avɔ falɛfalɛ ƒe nuwo (socks, underwear, plush-toy stuffing) nye #1 si hea amekoko ƒe dɔgbo ƒe duta ŋutilã ɖeɖeɖa le avuwo me vɛ. Ne nuɖuɖua dzɔ le gaƒoƒo 1 va ɖo 2 me eye nusi wotsɔ wɔe nye afɔkpodzi ƒe afɔkpa falɛfalɛ ɖeka le avu si me brachycephalic mele o si le titina va ɖo gã me la, ƒu du yi wò lãmesẽdɔwɔla gbɔ enumake: lãwo ƒe atikewɔla apomorphine alo ropinirole ŋkumeɖonu si woate ŋu ado na avuwo dzidzedzetɔe na avu 80 va ɖo 85 le alafa me ʋua afɔkpa falɛfalɛ aɖe le atikewɔƒea le miniti 10 me, ƒo asa na ƒodo ƒe dɔwɔwɔ si axɔ dɔlar 3,500 va ɖo 6,000.
13. Ne wò avu ɖu Macadamia Nuts (Raw, Roasted, Salted, or White-Chocolate Macadamia Cookies), lé ŋku ɖe agbɔsɔsɔme si woatsɔ awɔe ŋu (>= 2.0 grams per kilogram) eye nàlé ŋku ɖe tsokolet/xylitol ƒe kpeɖeŋutɔ siwo le eme hã ŋu.
14. Se si Wowɔna le Asibide Ŋu (-1 Macadamia Nut per Kilogram of Body Weight): Macadamia nut ƒe nuku ɖeka si ƒe gowo le mamã dedie nu ƒe kpekpeme nye gram 2.0 va ɖo 2.5. Macadamia nuku gram 0.7 va ɖo 2.0 ɖuɖu le ame ƒe kpekpeme kilogram ɖeka me (roughly 1 nut per 1 to 2.2 pounds of dog, alo 4 va ɖo 5 ko macadamia nukuwo le 5-kg / 11-lb Miniature Schnauzer alo French Bulldog) hea megbefɔti ƒe gbɔdzɔgbɔdzɔ sesẽ dziyiyi/fɔku, lãmekawo ƒe ʋuʋu, ƒunukpeƒewo ƒe sesẽ, ʋuʋudedi, kple dzoxɔxɔ vɛ (up to 40.5 C / 105 F) le gaƒoƒo 3 va ɖo 12 me, tsɔ kpe ɖe dɔdzẽ sesẽ ƒe afɔku gã si le ami 75 le alafa me si le eme ta.
15. Kpɔ Dzesi 5 Klasik siwo fia be Dɔgbo ƒe Mɔxexe Bliboa (Requires Immediate Emergency Surgery). Le gaƒoƒo 12 va ɖo ŋkeke 14 siwo kplɔe ɖo me le dutanu ɖesiaɖe si wosusu be èɖu vɔ megbe la, ƒu du yi lãwo ƒe kɔdzi kpata si wɔa dɔ gaƒoƒo 24 ne wò avu alo avu dze:
16. Afɔku ƒe ʋuʋudedi enuenu alo ŋutetemanɔamesi be wòana tsi suesuesuewo gɔ̃ hã naɖiɖi o (often starting 6 to 48 hours after ingestion, or up to weeks later if a sock or cob was rolling around in the stomach as a "ball-valve" before dropping into the small bowel).
17. Anorexia (gbegbe nuɖuɖu siwo wolɔ̃na wu), nuyi ƒoƒo, alo aɖuɖɔtoe.
18. "Gbedodoɖa ƒe Nɔnɔme" (stretching front legs flat on the floor with the chest down and hind end sticking up in the air), si nye aƒemelã ƒe nɔnɔme si wonya nyuie na ƒodo si le etame / dɔgbo / dɔgbo ƒe vevesese sesẽ.
19. Aɖuɖɔ ƒe anyimanɔmanɔ (or straining to pass tiny drops of dark bloody liquid diarrhea around an obstruction).
20. Aɖu siwo ƒe amadede nye aŋutiɖiɖi alo esiwo le tacky, dzi ƒe tsotso si le du dzi (> 140 to 160 bpm), alo ƒodo si le sesẽm eye wòle veve sem (si fia be dɔgboa me do eye septic peritonitis).

Nyametsotsoti: Avũ alo avu mi ƒuwo, bli ƒe aŋgba, sox, do, alo macadamia nukuwo¶

flowchart TD
    A["Avũ alo Avũ Mi Ƒu Si Woɖa, Bli ƒe Aŋgba, Soklo/Avɔ, Kpe-Atikutsetse/Avocado Do, alo Macadamia Nuts"] --> B{"1. Kpɔ Yameʋuɖoɖo & Dzesi Siwo Le Ʋuʋum Enumake"}
    B -->|"Nu me ʋuʋu sesĩe, afɔ tsɔtsɔ ɖe nu me, stridor ƒe gbeɖiɖi kɔkɔ, cyanotic (blɔ) aɖuwo, alo mu"| C["ACUTE CHOKING EMERGENCY: Ʋu nu eye nàtutue ne èdze ƒã be wotsɔe ƒo ɖe kɔ megbe KO -> Wɔ Canine/Feline Heimlich Thrusts alo Chest Compressions + Wheelbarrow Lift -> Duƒuƒu yi Vet ER si te ɖe ŋuwò gbɔ"]
    B -->|"Gbɔgbɔ bɔbɔe, te ŋu mia aɖuɖɔ"| D{"2. Nu kae koŋ womi?"}
    D -->|"Ƒu si Woɖa (Koklolã, koklozi, akɔta, haƒoƒo, lãgbalẽ, alo tɔmelã ƒe ƒu) ."| E["MÈGADE ƲUƲU GBEÐE O (Ƒe ƒe kakɛwo doa do ɖe nuɖuɖutome le mɔ dzi yina dzi). Ne avu mekpɔ gagging/vomiting, na bulky cushion (abolo falɛfalɛ / mashed potatoes / canned pumpkin) + Yi Vet hena X-ray & 72-hr perforation/constipation watch"]
    D -->|"Bli ƒe Kplu, Peach/Plum/Mango/Avocado Do, alo Rababa/Plastic Fefewɔnu Sesẽ"| F["100% INDIGESTIBLE OBSTRUCTION HAZARD: Mègahe ʋuʋudedi vɛ le aƒeme na cobs siwo ƒe ɖa le ʋuʋu/do gãwo o -> Ƒu du yi Vet gbɔ le gaƒoƒo 1 va ɖo 4 me hena Endoscopic Retrieval tso dɔgbo me hafi wòaƒo ɖe dɔgbo suea me eye wòahiã be woawɔ dɔ na ƒodo"]
    D -->|"Avɔ Falɛfalɛ (Sock, Awu Te, Ribbon, Ka, alo Fefewɔnu si Wotsɔa Kpe Wɔe) ."| G{"3. Ƒomeviwo & Ɣeyiɣi Tso esime Mimi Avɔ"}
    G -->|"CAT kple String/Ribbon/Thread ALOO Aƒemelã ɖesiaɖe > gaƒoƒo 2 va ɖo 4 enye sia alo le ʋuʋum xoxo"| H["MÈGAHE ka si le nu me alo aɖuɖɔ ŋu GBEÐE o -> MÈGAtsɔ peroxide ana avu GBEÐE o -> Duƒuƒu yi Vet ER gbɔ hena Ultrasound/X-ray & Endoscopy alo Surgical Enterotomy"]
    G -->|"Non-brachycephalic DOG mi sox falɛfalɛ < gaƒoƒo 1 va ɖo 2 enye sia kple dzesi aɖeke o"| I["Yi Vet gbɔ enumake: Vet ate ŋu ado Apomorphine / Ropinirole ŋkumeɖonu si wodona dedie be wòana tsi natsi (85% dzidzedzekpɔkpɔ) alo aɖee to scope dzi"]
    D -->|"Macadamia Nuts (Ame ƒuƒu, si wotɔ dzoe, alo le kuki/mɔzɔzɔ ƒe tsakatsaka me) ."| J["Kpɔe ɖa be Tsokolet/Raisins/Xylitol ɖuɖu ɖekae hã -> Yɔ Vet / Poison Control -> Ne woɖui < gaƒoƒo 2 enye sia (eye avu MELE ʋuʋum/gbɔdzɔ haɖe o), vet hea emesis vɛ + Activated Charcoal -> Kpɔ gaƒoƒo 12 va ɖo 48 ɖa be Reversible Hindlimb Paralysis & Pancreatitis"]

Nu ɖesiaɖe ƒe gbagbã kpata: Nusi dzɔna le wò aƒemelã ƒe ŋutilã me¶

Zã kplɔ̃ sia si wotsɔ sɔ kple wo nɔewo nàtsɔ ase nusita aƒeme nuɖuɖu atɔ̃ siawo siwo bɔ dometɔ ɖesiaɖe hiã lãwo ƒe atikewɔwɔ ƒe mɔnu si to vovo kura gɔme:

Deep dive 1: Ƒu siwo Woɖa - Gaƒoƒo 72 ƒe Dodo kple Aɖuɖɔtoe ƒe Ŋusẽkpɔɖeamedzi Dzɔdzɔmenuwo¶

Nukatae gbemelãwo kple kokloziwo ɖua ƒu ƒuƒu siwo woɖu esime aƒeme avu si mi koklozi ƒe kpẽ alo haƒoƒo ƒe akɔtaƒu si woɖa la va wu enu ɖe lãwo ƒe ICU? - Ƒe ƒuƒu vs. Ƒu si Woɖa Biomechanics: Ƒu gbagbe ƒuƒu nye 35 le alafa me elastic Type I collagen protein kple 65 le alafa me calcium phosphate mineral ƒe ƒuƒoƒo si te ŋu trɔna bɔbɔe. Ne woɖa ƒu, ɖae, ɖae, alo do dzudzɔ la, dzoxɔxɔa trɔa asi le kolagen kaawo ŋu, eye wògblẽa mineral ƒe go si le gbagbãm si le abe ahuhɔ̃e ene la ɖi. Ne wò avu ɖu koklozi ƒe ƒu si woɖa ɖe afã me la, egbãna le didime nu zua aŋe ƒe nugbɔ siwo le 45-degree oblique needle tips siwo ɖa abe aŋe si le lãkusi me ene. - Alesi Canine Stomach Acid wɔa dɔe (And Why the Bread/Pumpkin Cushion Helps): Avũ ƒe dɔgbo ƒe pH si le ɖiɖim ɖe eme le nuɖuɖumeŋusẽ me ɖiɖina va ɖoa pH 1.0 va ɖo 1.5 (nearly 10 times more acidic than human stomach acid). Ne koklozi ƒe ƒu sue aɖe si woɖa na wòɖiɖi to nuɖuɖutome yi dɔgboa me dedie evɔ meto gli la me o, eye nèna nuɖuɖu abolo falɛfalɛ, mɔli si wofli, alo mɔli si wotsɔ gaze me la, nu eve dzɔna: 1. Carbohydrate/fiber mash gã la tsyɔa nu ɖa ɖaɖɛawo dzi ale be dɔgboa ƒe ʋuʋu metea ƒu ƒe aŋe ƒuƒluwo ɖe ƒodoa ƒe gli me tẽ o (preventing gastric perforation). 2. Nuɖuɖu ƒe dzodzroa ʋãa lãmenugbagbevi siwo le lãkusi me be woaɖe hydrochloric acid si me wode nu me (HCl) esime wònana pyloric sphincter la nɔa tutu ɣeyiɣi didi wu, enaa dɔgbo me acid gaƒoƒo 6 va ɖo 12 be wòaɖe calcium ɖa le ƒu ƒe kakɛ tsɛawo me eye wòatrɔ woƒe nugbɔ ɖaɖɛwo wòazu goma hafi woato dɔgbo suea me. - **Ŋkeke 2 vaseɖe Ŋkeke 3 ƒe Afɔku (Colonic & Rectal Bone-Gravel Impaction). Esia trɔa ƒu kakɛawo wozua kpe sesẽ, ƒu-kɔkrit aɖuɖɔ. - Nuxlɔ̃amedzesiwo le gaƒoƒo 24 va ɖo 72 me: Wò avu nɔa anyi kpoo enuenu be yeaɖe aɖuɖɔ (tenesmus), doa ɣli alo doa ɣli le vevesese ta esime wòle tete ɖem, eye ʋu dzĩ si le keklẽm ƒe tsitetewo koe toa eme (hematochezia) alo tsi si me tsi le. - Nusi woawɔ: Mègana amegbetɔ ƒe Fleet gbeɖe o (sodium phosphate) enemas na avu alo avu ( .causes fatal hyperphosphatemia and hypocalcemic tetany), eye mègadze agbagba gbeɖe be yeatsɔ aŋe ahe ƒu ɖaɖɛ aɖe ado goe le dɔgboa me o. Lãwo ƒe dɔdala ana avu la ƒe dzi nadze eme, ade dze kple ami si me dɔlékui mele o si me ami le me, eye wòagbã ƒu ƒe kpe gbadzɛ si ŋu wògblẽ nu le la blewuu ahaɖee kple asi evɔ mavuvu dɔgboa ƒe gli o.

Deep dive 2: Bli Cobs, Soxwo, kple Avocado/Peach Dowo - "Ball-Valve" Dɔgbo ƒe Mɔ̃¶

Dɔdaƒe ƒe nudzɔdzɔ siwo tɔtɔa aƒemelãwo wu dometɔ ɖekae nye "Ball-Valve" ƒe ʋuʋudedi si nɔa anyi ɣeaɖewoɣi: - Alesi Bli, Avocado Do, alo Sox ɣlana ɖe Ƒodo me Kwasiɖa geɖe: Tsɔe be wò Golden Retriever mi avocado do blibo, peach kpe, alo afɔkpodzi sock le Kwasiɖagbe. Esi wònye be do alo sox si wotsɔ balled-up la keke sentimeta 3.5 va ɖo 5 ta la, elolo akpa be wòate ŋu aƒo to pyloric outflow tract gbadzaa me ayi dɔgbo suea me. Esi wòbɔbɔ nɔ anyi ɖe ŋutilã gã si keke la me (fundus) ƒe dɔgbo me la, avu la ɖua nu, noa nu, eye wòfea fefe le mɔ si sɔ nu keŋkeŋ hena ŋkeke alo kwasiɖa 2 va ɖo 4 gɔ̃ hã. - The Ball-Valve Mechanism: Ɣeaɖewoɣi la, ne avu la ɖu nu alo no tsi agba gã aɖe vɔ la, gastric peristalsis klɔa avocado do goglo la alo sox la yi ɖe pyloric antrum si le abe funnel ene la me tututu, eye wòxea dɔgboa ƒe dodo abe rababa ƒe tsilele ƒe nutrenu ene. Kasia avu la tsɔa eƒe nuɖuɖu si womeɖu o la ƒua gbe le gaƒoƒo 2 va ɖo 6 megbe le nuɖuɖu vɔ megbe; ne ƒodoa nya ƒuƒlu ko la, doa alo sox la gagbugbɔna yia megbe yia fundus si me keke la me ake, eye avu la gawɔa nu enumake kple dɔwuame eye wòsɔ - vaseɖe esime ɣebubuɣi si doa axe mɔa, alo vaseɖe esime ʋuʋudedi sesẽ aɖe naxe nu la ƒe akpa aɖe mlɔeba ɖe duodenum la me, si hea acute, non-stop projectile vomiting and life-threatening small-bowel necrosis vɛ.

Afɔku Tɔxɛ Siwo Le Avocado Ŋu (Persin + 75% Fat) kple Kpe-Atikutsetse Dowo ( .Cyanide) .¶

1. Avocado Lã, Ŋutilã, Kple Do (Persea americana):
2. Le Avuwo kple Avuwo me: To vovo na aƒemelãwo, avugbɔ̃ewo, sɔwo, kple gbɔ̃wo (where the fungicidal toxin Persin in avocado leaves, bark, skin, and pits causes fatal myocardial necrosis, mastitis, and respiratory distress), avuwo kple avuwo te ŋu nɔa te ɖe persin ŋutɔ nu vie. Ke boŋ le avuwo gome la, avoka ɖuɖu hea nudzɔdzɔ kpata eve siwo to vovo vɛ: 1. Mɔ̃ si wotsɔ xea mɔ na amedzro si tso avocado-do gã si glidzaglidza si lolo abe golf-bɔl ene la me, kple 2. Acute Necrotizing Pancreatitis si ami si sɔ gbɔ ŋutɔ hena vɛ (15% to 30% fat by wet weight) ƒe avocado lã kple guacamole ( .plus onion/garlic toxicity if the dog ate prepared guacamole).
3. Peach, Plum, Apricot, Cherry, kple Nectarine Dowo (Prunus Lã ƒomeviwo):
4. Whole Uncracked Pit: Hea mɔ̃ɖaŋununya ƒe dɔgbo sue ƒe xexe (aŋɔ ɖaɖɛ siwo le peach-kpe dzi si wotsɔ lãgbalẽ wɔe la yi ɖe jejunal lining me abe bli ƒe ʋeʋẽ ene).
5. Do ƒe Kernel si Gbagbã alo Si Woɖu (Cyanogenic Glycoside Toxicity): Le peach, apricot, plum, alo cherry do ƒe gotagome go sesẽa me la, nuku ƒe aŋgba aɖe si le abe almond ene si me amygdalin (a cyanogenic glycoside). Ne avu si ƒe aɖu sesẽ ƒo peach alo apricot kpe gbogbo aɖewo ʋuʋu eye wòmi nuku ememetɔwo la, dɔgboa me enzymewo tsɔa tsi ƒoa amygdalin wòzua hydrogen cyanide (HCN), si xea mɔ na mitochondrial cytochrome c oxidase ( .Complex IV), si xea mɔ na lãmenugbagbeviwo be woagazã ɔksidzin o. Dzesi siwo fia be cyanide toxicosis sesẽ dzena le miniti 15 va ɖo 60 me: brick-red (bright cherry-red) mucous membranes, gbɔgbɔtsixe tsia ame ƒo ( .tachypnea), ʋuʋudedi, ŋkume ƒe ʋuʋu, lãmekawo ƒe ʋuʋu, kple woƒe anyidzedze.

Deep dive 3: Macadamia Nut Toxicosis le Avuwo Me - Nusita Wò Avũ ƒe Megbe Afɔwo Dzudzɔ Dɔwɔwɔ Kasia¶

Nu ʋɛ aɖewo koe doa vɔvɔ̃ na avutɔ wu be wòanyɔ le gaƒoƒo 8 megbe esi woƒe avu tsɔ macadamia-ku kotoku aɖe ƒo ƒu ɖe ƒua ta (or white-chocolate macadamia cookies) eye wokpɔ woƒe avu mete ŋu tsi tre ɖe eƒe megbefɔwo dzi o (hindlimb paraparesis), ʋuʋu le mɔ si dzi womate ŋu aɖu o nu, kple dzoxɔxɔ si le du dzi.

Aɖi si le Canine Macadamia Nut ƒe Dɔdaƒe Ŋuti Nyatakaka (Unique to Dogs) .¶

• Aɖi ƒe Agbɔsɔsɔme ƒe Dzidzenu: Dzesiwo dzena le macadamia nuku ƒe agbɔsɔsɔme si le sue abe gram 0.7 va ɖo gram 2.4 le ŋutilã ƒe kpekpeme kilogram ɖeka me (anɔ abe akɔɖu 1 si ŋu go le le kilogram 1 va ɖo 3 [pound 2.2 va ɖo 6.6] ɖesiaɖe me).
• Ɣeyiɣi si Wodze Egɔme (Hours 3 to 12):
• Afɔkpodzi ƒe Gbɔdzɔgbɔdzɔ & Ataxia (Present in > 80% of cases): Avũ dzea agbagba be yeatsi tre tso yeƒe aba dzi, eʋuʋuna ahamumutɔe le eƒe megbefɔwo dzi, tsɔa eƒe megbefɔwo ƒoa abɔta ɖe ete, alo hea eƒe megbeƒuwo toa anyigba abe ɖe wòzu lãmetututɔ ene (ascending pelvic limb paresis with depressed patellar reflexes).
• Ƒoƒu & Lãmetsi Vevesese (Arthralgia / Myalgia): Avũa dzena abe ɖe wòsẽ ene, medi be yeazɔ o, eye wòʋuʋuna ne woka asi eƒe akɔta alo eƒe akɔta ŋu.
• Ŋutilã Bliboa ƒe Lãmetsiŋusẽ ƒe Ʋuʋu (50% of cases): Ʋuʋudedi si tso fine-to-coarse (zi geɖe la, vevesese kple dzoxɔxɔ nana wògagblẽna ɖe edzi).
• Aɖuɖɔtoe, Kuviawɔwɔ, Kple Dzoxɔxɔ Gãtɔ (Rectal Temp 39.7 to 40.6 C / 103.5 to 105.0 F).
• Hypertriglyceridemia si mesẽ o va ɖo esi nu sẽ & Serum Lipase si dzi ɖe edzi (Pancreatitis Risk): Esi wònye be macadamia-kuwo nye ami 75 va ɖo 80 le alafa me le woƒe kpekpeme nu (ami si sɔ gbɔ wu le atikutsetse ɖesiaɖe me) ta la, lã ƒomevi siwo le titina kple esiwo le sue wu (especially Miniature Schnauzers, Yorkshire Terriers, Poodles, Dachshunds, and Cocker Spaniels) dze ŋgɔ afɔku gã aɖe be woaxɔ dɔdzẽ sesẽ evelia le gaƒoƒo 24 va ɖo 72 megbe.
• Nyanyui la (100% Reversible Neurological Recovery in 24 to 48 Hours): Togbɔ be ahɔhɔ̃mekawo ƒe aɖi si tututu le tsi alo ami me si le Macadamia integrifolia kple Macadamia tetraphylla me megale nugbagbeŋutinunyalawo si o hã la, ahɔhɔ̃mekawo ƒe mɔxexeɖedɔléle si le aƒemelãwo ƒe ahɔhɔ̃mekawo ƒe ƒoƒo/aklã ƒe kadodo me nye ɣeyiɣi kpui aɖe ƒe alafa memama 100 eye mewua ame o. Ne wokpɔ lãwo ƒe beléle si kpena ɖe ame ŋu (si ƒe ʋuʋu kaba kple dzoka xɔxɔ si wɔa dɔ ne wolée le gaƒoƒo 2 me, tsi si wodona ɖe ʋuka me zazã atsɔ ana dzoxɔxɔ nafa eye wòakɔ ayikuwo, atike siwo tsia aɖuɖɔtoeme nu [maropitant / Cerenia], vevesese dzi ɖeɖe kpɔtɔ, kple nuɖuɖu sesẽ si me ami mesɔ gbɔ ɖo o ŋkeke 5), avũ 100 le alafa me kloe gazãa woƒe megbefɔwo bliboe, si sɔ le gaƒoƒo 24 va ɖo 48 me eye lãmekawo megblẽa nu le wo ŋu tegbee o.

Ɣekaɣie Lãmesẽdɔwɔlawo Kple Aƒetɔwo Na Woaɖe Aɖuɖɔ Kple Alesi Woaɖe Aɖuɖɔ (And Why Salt Is Deadly) .¶

Ne èƒo ka na wò lãmesẽdɔwɔla alo Lãwo ƒe Aɖi Dzɔdzɔmeŋusẽŋununya le aɖabaƒoƒo 30 va ɖo 90 me tso esime nèɖu si le dedie be nàɖe aɖuɖɔ (abe macadamia nuku dzrowo, weintsetsewo, tsokolet, alo avɔ falɛfalɛ sue aɖe si le avu si le lãmesẽ me, si me brachycephalic mele o me ene) la, wɔ ɖe woƒe mɔfiame siwo tututu ku ɖe ɖiƒoƒo ɖeɖeɖa ŋu dzi:

• Nusita Lãwo ƒe Dɔdaƒe Emesis Wodi Ɣesiaɣi (Apomorphine alo Ropinirole / Clevor): Lãmesẽdɔwɔlawo naa ropinirole (Clevor) alo apomorphine yi ŋkume kotoku (alo IV), si doa ŋusẽ ahɔhɔ̃a ƒe chemoreceptor trigger zone (CRTZ) via D2 dopamine xɔlawo ale be avu la ƒua tsi dzadzɛ le miniti 3 va ɖo 8 me (90%+ success rate). Le avuwo gome la, lãmesẽdɔwɔlawo zãa dexmedetomidine alo xylazine si wodona ɖe lãme na ame (alpha-2 agonists), si nye mɔnu ɖeka kolia si le dedie si dzi woato ana avu naɖe tsi.
• Ne Lãwo ƒe Dɔdala De Mɔfiame Be Woazã 3% Hydrogen Peroxide (H2O2) le Avũ KO me: Kpɔ egbɔ be enye yeye 3% USP Aƒeme Hydrogen Peroxide (never hair-bleach 6% to 40% peroxide). Lãwo ƒe atike ƒe agbɔsɔsɔme si wozãna ɖaa (confirm by phone first) nye 2.2 mL le kilogram ɖeka me (1 mL per pound, alo 1 teaspoon [5 mL] per 5 pounds), vaseɖe sesẽtɔ kekeake si nye 45 mL (3 tablespoons) na avu gã ɖesiaɖe, wotsɔe ƒu gbe ɖe ŋgonu kotokua me le abolo sue aɖe tsɔtsɔ sa vɔ megbe. Mègana agbɔsɔsɔme si wu eve gbeɖe o; peroxide si sɔ gbɔ akpa hea necroulcerative gastritis sesẽ kple gas embolism si mebɔ o vɛ.
• MÈGAZã Table Salt, Mustard Water, Dish Soap, alo Finger Gagging GBEÐE O: Klɔ kplɔ̃dze (sodium chloride) yi avu ƒe ŋɔti me hea acute lethal hypernatremia (salt poisoning), si hea tsi doa goe le ahɔhɔ̃mekawo me eye wònana ahɔhɔ̃a ƒe ʋuʋu, alɔ̃madɔmadɔ, kple ku le gaƒoƒo 2 va ɖo 6 me.

Nutome ƒe xexlẽdzesi siwo ku ɖe nudzɔdzɔ kpatawo ŋu kple dɔwɔƒea ƒe ɖoɖowo¶

• United States kple Canada: Ƒo ka na lãwo ƒe kɔdzi kpata si wɔa dɔ gaƒoƒo 24 le mia gbɔ, si nye ASPCA Lãwo ƒe Aɖi Dzikpɔƒe (APCC) le 1-888-426-4435, alo Amelãwo ƒe Aɖi Kpekpeɖeŋunaƒe le 1-855-764-7661 (24/7).
• United Kingdom: Ƒo ka na wò lãmesẽdɔwɔla si wɔa dɔ kpata gaƒoƒo 24 alo Animal PoisonLine le 01202 509000 (Lãwo ƒe Aɖi Ŋuti Nyatakaka Dɔwɔƒe [VPIS]). UK dɔmenyohabɔbɔ siwo dometɔ aɖewoe nye PDSA kple Blue Cross xlɔ̃ nu be woagatsɔ ƒu alo bli si woɖa la ana avuwo o.
• Europa Dukɔwo ƒe Habɔbɔ: Te ɖe lãwo ƒe kɔdzi si te ɖe ŋuwò si wɔa dɔ gaƒoƒo 24 alo dukɔa ƒe lãwo ƒe aɖidɔwɔƒe si te ɖe ŋuwò ŋu (CAPAE-Ouest le France le 02 40 68 77 40).
• Australia kple New Zealand: Ƒo ka na Australia Lãwo ƒe Aɖiwo ƒe Kpekpeɖeŋunaƒe le 1300 869 738 (1300 TOX PET) le Australia alo 0800 869 738 le New Zealand (afisi Macadamia integrifolia toxicosis si le avuwo me dze zi gbãtɔ le Australia Lãwo ƒe Dɔlélewo Ŋuti Habɔbɔ [AVA]).
• India kple Asia-Pacific: Yi lãwo ƒe kɔdzi si te ɖe ŋuwò si wɔa dɔ gaƒoƒo 24 alo lãwo ƒe kɔledzi ƒe amekoko dɔwɔƒe (kpɔ xexlẽdzesi siwo wozãna kpata).

Nya siwo wobiaa amewo enuenu¶

Nukatae nègblɔ be woana nuɖuɖu abolo ɣi falɛfalɛ alo mɔli si wofli le esi nye avu mi koklozi ƒe ƒu si woɖa vɔ megbe, evɔ amegbetɔ ƒe kpekpeɖeŋunala gbãtɔwo gblɔ be "Mègaɖu abolo gbeɖe o" ne ɖevi mi ƒu?¶

Elabena aƒemelãwo kple amegbetɔwo ƒe nu mimi ƒe ŋutilã ƒe wɔwɔme to vovo. Le ɖevi si ƒe tɔmelã ƒu tsɛ aɖe lé ɖe tonsi alo ŋɔti me kɔkɔ gome la, abolo ƒuƒu mimi tua ƒua ɖe kɔ ƒe gli me goglo wu. To vovo na ema la, avuwo ƒe nuɖuɖutome keke eye womia koklozi ƒe ƒu kakɛ siwo wofli la yia dɔgboa me tẽ. Ne ƒu kakɛ ɖaɖɛ mawo siwo woɖa la nya le avu la ƒe dɔgbo me ko (si me nu me mekɔna o alo tsi meƒona o) ko la, etsɔa abolo falɛfalɛ, mɔli si wofli, alo mɔli si wotsɔ gaze me xatsa ɖe ƒu ƒe kakɛ siwo le ƒodoa me ƒe akɔtaɖonu gã aɖe nyia ƒu ƒe kakɛ siwo le ƒodoa me ale be ƒu ƒe aŋgbawo nagate ƒu ƒe aŋe ƒuƒluwo ɖe ƒodoa ƒe gli me esime avu la ƒe dɔgbo me acid sesẽ si woyɔna be hydrochloric stomach acid (pH 1.0 va ɖo 1.5) nana ƒu ƒe goawo fa.

Ðe mate ŋu ana mineral oil alo amagbemi nye avu le aƒeme be wòatsɔ "asi ami" sox, bli ƒe aŋgba, alo ƒu si womi la?¶

Mègatsɔ mineral oil, castor oil, alo amagbemi kpluwo to nu me na avu alo avu gbeɖe o. Mineral ami mevivina o eye meʋẽna o, eyata aƒemelãwo mete ŋu ʋua nu mimi ƒe nɔnɔme si kpɔa ame ta o eye wogbɔa amia kpoo yia lãkusiwo me, si hea aklãdɔ si wua ame si woyɔna be lipoid aspiration pneumonia vɛ. Le ɣeyiɣi ma ke me la, woɖua amagbemi kpluwo le dɔgbo suea me evɔ womeɖea bli alo sokpe aɖeke dzi kpɔtɔna o esime wòhea dɔgbo ƒe dɔléle sesẽ vɛ.

Ɣeyiɣi didi kae nye avu mi sox alo bli ƒe aŋgba vɔ megbe la, ate ŋu ana wòaxe mɔ kokoko? Nye avu ɖu sox ŋkeke 10 enye sia eye wònɔ nyuie vaseɖe esime wòɖe aɖuɖɔ egbea.¶

Sox, awu ʋlaya, bli, alo peach do si womi ate ŋu anɔ avu ƒe dɔgbo me kwasiɖa 1 va ɖo 6 hafi ana dɔgbo suea naxe mɔ ɖe enu vevie. Togbɔ be nua le gegem ɖe ƒodoa ƒe xɔ gã gbadzaa me hã la, nuɖuɖu kple tsi sina toa eŋu eye dzesi ʋɛ aɖewo koe nɔa eŋu alo womeɖenɛ fiana kura o. Kwasiɖa aɖewo megbe la, ʋuʋudedi sesẽ aɖe ƒoa sokpea alo aŋea to pyloric valve la me yia duodenum alo jejunum gbadzaa me, afisi wòƒona sesĩe le eye wòʋãa aɖuɖɔtoe si medzudzɔna o. Gblɔ nu ɖesiaɖe si nèmi le ɣleti 1 va ɖo 2 siwo va yi me na wò lãmesẽdɔwɔla ɣesiaɣi.

Nye avu ɖu macadamia nuku 10 gaƒoƒo 8 enye sia eye fifia mete ŋu tsi tre ɖe eƒe megbefɔwo dzi o eye wòle ʋuʋum. Ðe wòzu lãmetututɔ tegbeea?¶

Togbɔ be macadamia nut ƒe megbefɔti ƒe lãmetutudɔ sesẽ kple ʋuʋudedi dzena nusi dzi ŋɔ hã la, macadamia nut ƒe ahɔhɔ̃mekawo ƒe aɖi si le avuwo ŋu nyea ɣeyiɣi kpui aɖe ko ƒe alafa memama 100 eye woate ŋu atrɔe. Na wò lãmesẽdɔwɔla nagbe tsokolet, waintsetse ƒuƒu, alo xylitol ɖuɖu ɖekae, lé ŋku ɖe dɔgbo ƒe dɔléle evelia ŋu le ami gbogbo si le eme ta, eye nàna tsi kple vevesese dzi ɖeɖe kpɔtɔ. Avũ ɖesiaɖe kloe si ŋu macadamia nut toxicosis dzadzɛ le la zɔna le mɔ si sɔ nu keŋkeŋ le gaƒoƒo 24 va ɖo 48 me.

Ðe ƒu ƒuƒu siwo me lã le la le dedie na avuwo ne ƒu siwo woɖa la nye afɔkua?¶

Ƒu ƒuƒuwo hã tsɔa afɔku kpata vevi siwo ŋu AVMA kple FDA xlɔ̃ nu tsoe: ƒu ƒuƒu sesẽ siwo tsɔa kpekpeme (nyilã ƒe afɔkpodzi alo asikewo) ŋeŋe nye nu vevitɔ si hea "slab fractures" si le veve sem le aɖu enelia si le etame si do ŋgɔ na aɖu ŋu, ƒumeŋuɖui ƒe ƒu ƒe asigɛ goglo siwo wotso la ƒua du enuenu ɖe aɖu si le ete dzi eye wotua ɖe aɖuɖɔtoe ƒe aɖuwo megbe, kple ƒu ƒuƒu koklolã alo haƒoƒo ƒe ƒuwo tsɔa Salmonella, Campylobacter, kple E. coli ƒe afɔkuwo.

Mɔfiame siwo do ƒome kplii¶

• Avũ alo avu si le nu ƒom: aƒemelã Heimlich kple CPR
• Avũ ɖu xylitol, tsokolet, weintsetse, waintsetse ƒuƒu, alo ibuprofen: agbɔsɔsɔmedzidzenu
• Avũ ɖu liliti, permethrin avu ƒe ʋetsuviwo ƒe tsi, alo linear string foreign body
• Avũ ɖu Sago Palm, Amanita lãmi, alo ƒumegbe siwo ƒe amadede nye blɔ-amagbe: aklã ƒe vovototodedeameme
• Xexlẽdzesi siwo woatsɔ awɔ nudzɔdzɔ kpatawoe

Dzɔtsoƒewo kple dziɖuɖumegãwo ƒe mɔfiame¶

• **ASPCA Lãwo ƒe Aɖi Dzikpɔƒe (APCC.
• Amerikatɔwo ƒe Lãwo ƒe Amekolawo ƒe Kɔledzi (ACVS, United States): Dukɔmelã Siwo Le Avuwo Kple Avuwo Me: Radiographic kple Ultrasonographic Diagnosis (Corn Cob Sign, Plication), Endoscopic Retrieval vs. Enterotomy, kple Mɔxexe Ðe Septic Peritonitis Nu.
• United States ƒe Nuɖuɖu Kple Atike Ŋuti Dɔwɔƒe (FDA Lãwo ƒe Atikewɔwɔ Dɔwɔƒe) kple Amerika Lãwo ƒe Atikewɔwɔ Habɔbɔ (AVMA): Nuƒlelawo ƒe Dedienɔnɔ Ŋuti Nuxlɔ̃ame: Nusita Mele Be Nàna Ƒu Siwo Woɖa Gbeɖe O (Chicken, Turkey, Rib, or Pork Bones) na Wò Avũ.
• Lãwo ƒe Nyadzɔdzɔgbalẽ si Ku Ðe Lãwo ƒe Dɔléle Kpata Kple Beléle Veviwo Ŋu (JVECC, Obr kple exɔlɔ̃wo. / Niedzwecki et al.): Lãwo ƒe Dɔléle ƒe Dedienɔnɔ Kple Eƒe Dɔwɔwɔ Nyuie (Apomorphine, . Ropinirole) tsɔtsɔ sɔ kple 3% Hydrogen Peroxide, kple Hydrogen Peroxide ƒe Mɔxexe Ðe Avũwo Kple Nu ɖaɖɛwo ɖuɖu Ŋu Kpuie.
• Australia Lãwo ƒe Dɔlélewo Ŋuti Habɔbɔ (AVA) kple Lãwo ƒe Aɖi Dɔwɔƒe (McKenzie et al., Australian Veterinary Journal, Australia): Avuwo ƒe Macadamia Nut Toxicosis kple Kpe-Atikutsetse / Avocado Duta Ŋuti Mɔxenuwo ƒe Dzesiwo.