Avũ si Woxe (Feline Urethral Obstruction) Kple MegbeAfɔ ƒe Lãmesẽ Kpata¶

Le lãwo ƒe atikewɔwɔ kpata me la, ŋutilã ƒe akpa si le ete ƒe kuxi sesẽ etɔ̃ ƒoa ƒu zi geɖe le aƒetɔ ƒe tɔtɔ me gake ebia be woawɔ nu enumake atsɔ axe mɔ ɖe dzi ƒe dɔmawɔmawɔ nyuie alo lãmetutudɔ si nɔa anyi ɖaa nu: Feline Urethral Obstruction (the "Blocked Cat"), Feline Aortic Thromboembolism (FATE, alo "Saddle Thrombus" blood clot), kple Acute Canine Intervertebral Disc Dɔléle (IVDD, alo "Slipped Disc" aklã ƒe nutete). Aƒemelãwo tɔ bua vodadatɔe edziedzi be avutsu si le avi fam le gbeɖuɖɔɖaka me be enye dɔgbo si me afɔku mele o, alo wotsɔe be avu aɖe si le eƒe megbefɔwo hem la ge tso kplɔ̃ dzi eye eƒe akɔta vuvu. Le gaƒoƒo 12 va ɖo 36 me la, tsinyegoe ƒe mɔxexe si womexe mɔ na o nana potassium ƒe aɖi si wua ame le dzitodzito me, evɔ aklã ƒe lãkusi ƒe dodo si ŋu womekpɔ egbɔ o si me vevesese deto ƒe sidzedze bu bu la tsoa lãmeka siwo le ete la ɖa tegbee. Vovototo dede tsinyegoe si xe sesĩe abe kpe ene, megbefɔti siwo me ʋuʋudedi mele o si fa miamiamia tso ʋuka me ʋu ƒe sisi gbɔ, kple akɔta si sesẽ eye wòle veve sem dome la nana nète ŋu naa wò aƒemelãa li ke dedie eye nèɖoa lãwo ƒe kɔdzi kpata si xɔa gaƒoƒo 24 esime agbetsitsi kple ahɔhɔ̃mekawo ƒe hayahaya gakpɔtɔ li.

Wɔ esia fifia¶

1. Takpɔ ɖokuiwò ta tso reflex agony bites me hafi nàka asi aƒemelã si le gbe dom alo lãmetututɔ ŋu. Avũ alo avu fatu gɔ̃ hã ate ŋu aɖu nu vevie ne ʋu ƒe sisi le ʋuka me, aklã ƒe lãkusi si gbã, alo tsinyegoe si keke ta. Ne ame aɖe ɖu ame vevie (vevietɔ avu ƒe ɖuɖu ɖe asi alo asibidɛ dzi) la, yɔ nutoa me tɔ xexlẽdzesi siwo wozãna kpata (911 le United States kple Canada, 112 le Europa Dukɔwo ƒe Habɔbɔ bliboa me, 999 le United Kingdom, 000 le Australia) alo adi atikewɔƒe kpata. Hafi nàkɔ avu si le veve sem la, tsɔ tsilewu ɣi aɖe bla woƒe ta kple akɔta; na avu si le veve sem si mele ʋuʋum o, le gbɔgbɔm vevie, alo eƒe mo le gbadzaa la, tsɔ gaze falɛfalɛ aɖe ƒo xlã eƒe nu me le gbadzaa ne èle ekɔm ko.
2. NA AVU ŊUTSU SI LE ƲUƲU ƑE NUÐEÐEŊUTI ME SI ME AKPAÐEKAÐEKAKE ME LE O: Yi ER lãmesẽdɔwɔla si wɔa dɔ gaƒoƒo 24 gbɔ enumake. Ne wò avu (vevietɔ avutsu) nɔa anyi ɖe gbeɖuɖɔɖakaa me alo egodo enuenu, doa ɣli, ɖua eƒe vidzinu ɣesiaɣi, eye wòɖea aɖuɖɔ zero alo tsi si me ʋu le dodom le la, mèlala o vaseɖe ŋdi. Nusuekpɔmɔ̃ ƒe kristalo kple ʋuʋudedi ƒe nutrenu aɖe xe eƒe vidzinu ƒe tsinyegoe si le gbadzaa la nu. Mègazi avu ƒe ƒodo alo mimie gbeɖe o, elabena tsinyegoe si yɔ fũu akpa, si mebɔbɔ o la agbã le ƒodoa me.
3. NA AVU SI GBƆNA KPƆKPƆ LE ƔLIDODO ME HEHE AMEGBETƆ ƑE Afɔ eveawo: Kpɔ megbefɔtiwo ɖa be dzoxɔxɔ kple amadede hã le eme hã. Ne wò avu ɖe asi le ɣlidodo si toa nu ŋu zi ɖeka, wòdze anyi ɖe eƒe axadzi, eƒe pantalon ʋu nu, eye wòhe megbefɔti ɖeka alo evea siaa siwo tu la, ka asi megbefɔtiawo ŋu eye nàtsɔ wo asɔ kple ŋgɔgbefɔwo. Ne megbefɔtiwo se le wo ɖokui me be fafa le abe tsikpe ene eye afɔbidɛwo alo ɖa ƒe abawo dze fu ɣi alo aŋutiɖiɖi-blɔ la, ʋuka me ʋu si ƒona tso dzia me (Saddle Thrombus / FATE) xe mɔ na ʋu ƒe sisi yi megbefɔwo gbɔ. Miƒu du yi lãwo ƒe kɔdzi si te ɖe ŋuwò si wɔa dɔ gaƒoƒo 24 enumake hena opioid si wodona ɖe ʋuka me ƒe vevesese dzi ɖeɖe kpɔtɔ.
4. NA AVƆ SI ƑE AMEGBETƆ ƑE ƲUƲU, ƲUƲU KPƆKPƆ, ALOO NU GBƆGBƆ KPƆKPƆ: Zi aɖaka me ƒe ʋuʋu sesẽ dzi enumake. Ne wò avu (vevietɔ Dachshund, French Bulldog, Corgi, Beagle, Shih Tzu, Basset Hound, alo German Shepherd) do ɣli ne wofɔe, ebɔbɔ eƒe akɔta, ʋuʋu, . zɔna abe ɖe wòmu aha le megbefɔwo me ene, tsi tre ɖe eƒe abɔta tame, alo kasia mete ŋu tsi tre o, dzudzɔ azɔlizɔzɔ, atrakpuiwo, kple titri katã enumake. Tsɔ avu la de teƒe gbadza si sesẽ (mɔzɔɖaka sue aɖe alo ʋuƒo sesẽ si dzi wotsɔ avɔ blae) eye nàtsɔ wo gbadzaa ayi ʋua gbɔ.
5. MÈGAtsɔ amegbetɔ ƒe vevesesenutsitikewo (Ibuprofen, Naproxen, Tylenol/Paracetamol, alo Aspirin) avu alo avu GBEÐE o. Acetaminophen (paracetamol) ƒe atikekui ɖeka wua avuwo. Amegbetɔ ƒe ibuprofen, naproxen, alo aspirin ƒe agbɔsɔsɔme ɖeka zazã le avu me hea dɔgbo me abi sesẽ vɛ eye xea mɔ na lãwo ƒe ahɔhɔ̃ŋutinunyala be wòana steroid siwo tsia dzodzodzoetsitsi si xɔa ame ɖe agbe alo lãwo ƒe NSAIDs le atikewo kɔklɔ ƒe masɔmasɔwo ta.
6. Ƒo ka na lãwo ƒe kɔdzi kpata si wɔa dɔ gaƒoƒo 24 le nuƒomɔ̃ dzi esime nèle agba dem ʋua me. Gblɔ wò aƒemelã ƒomevi, kpekpeme, dzesi siwo tututu le eŋu, kple ɣeyiɣi si wobu be wòava ɖo na dɔnɔdzikpɔla si kpɔa lãwo ƒe lãmesẽnyawo gbɔ ale be woate ŋu adzra ECG-kpɔmɔ̃, oxygen-cage, opioid vevesesenutsitike, alo unblocking catheter kit ɖo hafi nàva.

flowchart TD
    A["Ŋutilã ƒe Anyi ƒe Xaxa Kpata le Avũ alo Avũ me"] --> B{"Dzesi vevitɔ ƒe nɔnɔme kae nèkpɔ?"}
    B -->|"Avũ ƒe anyidzedze enuenu le gbeɖuɖɔɖaka me/do goe, vidzinuwo ƒoƒo, gbeɖiɖi, aɖuɖɔ 0 dodo"| C["FELINE URETHRAL OBSTRUCTION (‘Avũ si Woxe Mɔ’) ."]
    B -->|"Kasia avu ƒoa ɣli le vevesese ta, pantalonwo ʋua nu, hea megbefɔ siwo tu la kple afɔkpa siwo ƒe amadede nye ICE-COLD siwo ƒe amadede nye blɔ/blɔ"| D["FELINE AORTIC THROMBOEMBOLISM (‘Saddle Thrombus’ Ʋu ƒe Ʋuʋudedi) ."]
    B -->|"Avũ alo avu ɖea akɔta si le akɔta si le akɔta, megbefɔ siwo ‘mu aha’ siwo le ʋuʋum, afɔkpodzi siwo le ƒoƒom, alo megbefɔ siwo le dzo dam siwo tu la fiana"| E["AKPAÐEKA ƑE KPƆKPƆ KPƆKPƆ KPƆKPƆ KPƆKPƆ (IVDD Slipped Disc / FCE / Trauma) ."]
    C --> F["MÈGAMI ƒo ƒodo o (tsinyegoea agbã); agba blewuu ɖe agbatsɔʋu me; ƒu du yi 24/7 ER Vet hena ECG, potassium ɖiɖi & catheter ʋuʋu"]
    D --> G["Xlãe ɖe afɔkpa me blewu be nàxe mɔ ɖe vevesese ƒe ɖuɖu nu; MÈGADO dzoxɔxɔ alo asilili afɔwo ŋu o; ƒu du yi ER Vet gbɔ 24/7 hena vevesesenutsitike si nye methadone/fentanyl le ʋuka me enumake"]
    E --> H["Zero azɔlizɔzɔ alo atrakpuiwo; tsɔe ƒu gbe ɖe ʋuƒo sesẽ alo aɖaka sue aɖe dzi; MÈGANA vevesesenutsitike amegbetɔwo GBEÐE o; ƒu du yi ER Vet / Neurologist gbɔ be woado Deep Pain kpɔ"]

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Vovototodedeameme kabakaba ƒe matriki: Blocked Cat vs. Constipation vs. Saddle Thrombus vs. IVDD¶

Zã dɔdamɔnu ƒe kplɔ̃ sia nàtsɔ ade vovototo aɖuɖɔtoe ƒe xexe, dɔgbo ƒe dɔgbo ƒe ʋuʋu, ʋukawo me ʋu ƒe sisi, kple aklã ƒe abi dome evɔ màwɔ afɔɖeɖe siwo ate ŋu ana abi la nagagblẽ ɖe edzi o.

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Akpa 1: Tsi me goglo: Feline Urethral Obstruction ("Avũ si Woxe") .¶

Feline Lower Urinary Tract Disease (FLUTD) kple Feline Idiopathic Cystitis (FIC) gblẽa nu le aƒemelã miliɔn geɖe ŋu. Togbɔ be tsinyegoe kpui si keke, si kekena, si toa gbeɖuɖɔwo me bɔbɔe le avu nyɔnuwo si hã la, avũtsuwo (tomcat siwo me gblẽ o kple atsu siwo woɖe fu na siaa) ƒe tsinyegoe didi si le abe S ene si le sue va ɖoa pindo sue aɖe si ƒe didime nye milimeta 0.7 (inch 0.028) si ʋuna le ŋutsu ƒe vidzinu ƒe nugbɔ me.

Nusita avutsuwo xea mɔ na wo: Mɔnu 3 siwo wozãna¶

1. Urethral Mucus and Crystal Plugs (60 le alafa me): Nuteɖeamedzi, aɖuɖɔtoe si me wode nu me, kple protein siwo naa dɔdzẽ siwo dona tso tsinyegoe ƒe gli si do dziku me tsaka kple nusuekpɔmɔ̃ struvite (magnesium ammonium phosphate) alo calcium oxalate crystals tsɔ wɔa aɖuɖɔ si le abe aɖuɖɔ ene si ƒoa ƒu ɖe ŋutsu ƒe vidzinu ƒe nugbɔ kpui si le a funnel ƒe ʋuʋu.
2. Mineral Uroliths (Tsinyegoe Kpewo, 10 va ɖo 20 le alafa me le dɔlélewo me): Mineral kpe sesẽwo dona le tsinyegoe ƒe kɔ me eye wogena ɖe os ƒe vidzinu alo akɔta ƒe tsinyegoe me sesĩe.
3. Functional Urethral Spasm and Edema (ame 20 va ɖo 30 le alafa me): Ne plug sesẽ aɖeke mele eŋu o gɔ̃ hã la, ahɔhɔ̃mekawo ƒe dɔdzẽ sesẽ si tso Feline Idiopathic Cystitis (si aƒeme nuteɖeamedzi, ʋuʋu, xɔtutu ƒe toɣliɖeɖe, masɔmasɔ kple avu bubu, alo gbeɖuɖɔɖaka ƒoɖiwo hena vɛ) nana tsinyegoe ƒe lãmeka ƒe gli blana le ʋuʋudedi si womate ŋu agbã o me.

Avũ si woxe mɔ na ƒe dɔdaƒe ƒe ɣeyiɣikɔntabubu si me afɔɖeɖe 4 le (Gaƒoƒo 0 vaseɖe Gaƒoƒo 48) .¶

• Afɔɖeɖe 1, Dzikudodo ƒe Akpa (Gaƒoƒo 0 vaseɖe 8): Avũa zɔna yia gbeɖuɖɔɖaka me zi 5 va ɖo 15 le gaƒoƒo ɖeka me, eɖea to dzitsitsitɔe, ebɔbɔna eye wòléa eƒe asike sesĩe ɖe tsia dzi, eye wòtutunɛ sɛkɛnd 30 va ɖo 90 le ɣeyiɣi ɖeka me. Ate ŋu ato aɖuɖɔ si ƒe lolome le abe gaku ene si ƒe amadede nye pink alo ʋu la me kaba, emegbe zero. Avũ geɖe nɔa anyi ɖe tsileƒe, tsiléƒe, alo nudzadzra ƒe kusiwo me esime wole woƒe vidzinuwo ɖum dzitsitsitɔe.
• Afɔɖeɖe 2, Visceral Pain and Distension Phase (Gaƒoƒo 8 vaseɖe 18): Tsinyegoe si xe mɔ na la kekena tso walnut ƒe lolome dzi va ɖoa peach alo orange ƒe lolome. Avũa ƒoa ɣli, ƒoa ɣli, alo doa ɣli kple ɣlidodo goglo ne ele akɔta alo ne ame aɖe ka asi eƒe ƒodo ŋu, ezɔna kple akɔta sesĩe, ɣlaa eɖokui ɖe nudzraɖoƒe dovivitiwo me, eye wògbea nuɖuɖu kple tsi.
• Afɔɖeɖe 3 lia, Uremic Toxicosis kple Bradycardia Phase (Gaƒoƒo 18 vaseɖe 30): Urea, creatinine, phosphorus, kple metabolic acids yɔa ʋua me esime ayiku ƒe ʋuʋu nu tso. Avũa dzea futukpɔ ɣi, ʋumenugbagbevi dzĩ, alo nuɖuɖu ʋuʋu gɔme, gbɔgbɔ ƒoɖi si le abe amonia ene va nɔa esi, eye eƒe dɔgbo ƒe dzoxɔxɔ dzi ɖena kpɔtɔna wu Celsius dzidzenu 37.5 (Fahrenheit dzidzenu 99.5) esime eƒe dzi ƒe tsotso dzi ɖena kpɔtɔna wu ƒoƒo 140 le aɖabaƒoƒo ɖeka me le potassium si le ʋu me si le dzidzim ɖe edzi ta.
• Afɔɖeɖe 4, Moribund Hyperkalemic Shock kple Bladder Rupture (Gaƒoƒo 30 va ɖo 48): Avũa mlɔa eƒe axadzi gbadzaa, mewɔa nu o alo nɔa alɔ̃ me, eƒe aɖuwo ƒe amadede nye aŋutiɖiɖi eye dzi ƒe tsotso nyea 80 va ɖo 110 le miniti ɖeka me. Ne tsinyegoe ƒe gli si ku la gbã le ƒodoa me la, adze abe ɖe avu la ƒe ƒodo ƒe vevesese dzi ɖe kpɔtɔ ɣeyiɣi kpui aɖe ene gaƒoƒo 1 va ɖo 2 esime aɖuɖɔ si me aɖi le yɔ ƒodoa me, eye dzia ƒe dɔwɔwɔ si wua ame kplɔe ɖo kabakaba.

Alesi nàwɔ alé ŋku ɖe wò avu ŋu dedie le aƒeme (kple nusi màwɔ GBEÐE o) .¶

• Kpɔ gbeɖuɖɔ ƒe ƒuƒoƒo ƒe ŋutinya, ke menye avu ƒe nɔnɔme o: Aɖuɖɔtoe ƒe ʋuʋu kple aɖuɖɔ ƒe ʋuʋu dzena ɖeka le gbeɖuɖɔɖaka me. Lé gbeɖuɖɔgoa eye nàlé ŋku ɖe aɖaka la ŋu; ne aɖuɖɔ xɔdzo yeye aɖeke meƒo ƒu tso gaƒoƒo 8 va ɖo 12 siwo va yi me o la, wɔ nu ɖe ​​avu la ŋu abe ɖe wòxee ene.
• Kpɔ ŋutsu ƒe vidzinu ƒe nugbɔ blewu: Ne avu la ɖe mɔ la, kɔ asike ƒe gɔme eye nàlé ŋku ɖe akɔta te. Le tomcat si woxe me la, zi geɖe la, ŋutsu ƒe vidzinu ƒe nugbɔ sue la dona milimeta 2 va ɖo 4 (inch 0.1 va ɖo 0.15) eye wòdzena dzĩ alo aŋutiɖiɖi viviti, eye ɣeaɖewoɣi la, kristalo nyui siwo le abe ke ene la ƒoa xlãe.
• Kpɔ dzi ƒe tsotso le akɔta ƒe gli ŋu: Avũ si sɔ, si le nuteɖeamedzi me alo le veve sem la ƒe dzi ƒe tsotso nye 180 va ɖo 240 le miniti ɖeka me. Da wò asibidɛ ɖe miame akɔta si le ete la dzi le ŋgɔgbe abɔta megbe tututu. Ne wò avu si le tetem ɖe eŋu la le kuvia wɔm eye dzi ƒe tsotso blewu si mede 140 o le miniti ɖeka me la, avu la le dzitodzito me aɖi si nye hyperkalemic me eye wòhiã be woado calcium gluconate ɖe ʋuka me le lãwo ƒe ER le aɖabaƒoƒo ʋɛ aɖewo ko me.
• MÈGAMI tsinyegoea alo adzro ŋutsu ƒe vidzinu me le aƒeme GBEÐE o: Avu ƒe tsinyegoe si xe mɔ na la va nɔa tsɛ abe pepa ene eye wògbãna le gaƒoƒo aɖewo megbe; ne èzi ƒodoa dzi sesĩe la, agbã tsinyegoe ƒe gli si le ƒodoa me. Nenema ke mègade naneke avu ƒe vidzinu me gbeɖe o, elabena avu ƒe tsinyegoea ƒoa xlãe sesĩe to akɔta eye wòvuvua bɔbɔe evɔ wometsɔa atike si naa ame ƒe dzi dzea eme le afisiafi kple 3.5-Fransegbe me ka siwo me dɔlékui mele o.

Nusi dzɔna le gaƒoƒo 24 ƒe Emergency Vet (kple ganyawo ƒe vovototodedeameme ƒe tiatiawɔblɔɖe) .¶

1. Immediate Triage & ECG Stabilization: Triage ƒuƒoƒoa dea IV catheter, léa ŋku ɖe ʋu me potassium kple ayiku ƒe xexlẽme ŋu, eye wotsɔa ECG kpena ɖe eŋu. Ne potassium sɔ gbɔ ŋutɔ la, lãmesẽdɔwɔla doa Calcium Gluconate 10 le alafa me ɖe ʋuka me (ekpɔa dzitodzito ƒe lãmeka ta le sɛkɛnd 60 me), eye wòdoa Regular Insulin plus Dextrose kple IV tsiwo kplɔe ɖo.
2. Vevesese kple Decompressive Cystocentesis: Wodoa opioid vevesesenutsitike (buprenorphine, methadone, alo fentanyl) ɖe ʋuka me kple atike si naa ame ƒe dzi dzea eme.
3. Retrograde Urohydropropulsion ("Unblocking"): Zã tomcat catheter si le ʋuʋu ɖi si le gbadzaa kple saline si me dɔlékui mele o ƒe pulses, tsɔ ƒua plug la ɖe megbe tso ŋutsu ƒe vidzinu ƒe nugbɔ yia tsinyegoe ƒe doa me, emegbe etsɔa aɖuɖɔtoe si nɔa eme la blaa aɖuɖɔtoe me hena gaƒoƒo 24 va ɖo 72 esime IV tsiwo le dodom le ayiku me aɖinuwo.
4. Ne Màte Ŋu Axe Ŋkeke 3 ƒe Kɔdziyiyi O: Ƒo nu anukwaretɔe le triage me. Dɔnɔdzikpɔƒe geɖe siwo kpɔa nudzɔdzɔ kpatawo gbɔ naa "Outpatient Unblocking Protocol" afisi lãmesẽdɔwɔla naa fafa na avu la, tsɔa tsi si xe mɔa la kɔa, tsia tsinyegoea, naa tsi siwo le ŋutigbalẽ te, buprenorphine vevesesenutsitike, kple prazosin alo tamsulosin tsinyegoe me ɖiɖiɖeme, eye wòɖoa avu la ɖe aƒeme kple aɖuɖɔtoe me nuɖuɖu xɔdzo si woŋlɔ nɛ. Togbɔ be dɔnɔdzikpɔkpɔ le kɔdzi hea afɔku si lolo wu le alafa memama 30 va ɖo 40 be woagaxe mɔ ɖe enu ne wotsɔe sɔ kple ka si wodona ɖe kɔdzi hã la, eɖea avu la ƒe agbe ne kɔdziyiyi mate ŋu aƒle o. Le avu siwo xea mɔ enuenu gome la, Perineal Urethrostomy (PU amekoko) kekea tsinyegoe ƒe ʋuʋu ɖe enu tegbee.

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Akpa 2: Tsi me goglo: Feline Aortic Thromboembolism (FATE / "Saddle Thrombus") ƒe ʋuka me ʋu ƒe sisi (FATE / "Saddle Thrombus") .¶

Nudzɔdzɔ kpata ʋɛ aɖewo koe dzɔna le lãwo ƒe atikewɔwɔ me siwo dzɔna kpata eye wodzi ŋɔ abe Feline Aortic Thromboembolism (FATE), si woyɔna zi geɖe be Saddle Thrombus ene. Avũ aɖe si dze abe ɖe wòle lãmesẽ me 100 le alafa me ene aɖabaƒoƒo atɔ̃ do ŋgɔ la ɖea asi le ɣlidodo sesẽ aɖe ŋu zi ɖeka, dzea anyi ɖe eƒe axadzi nɔa gbɔgbɔm henɔa gbɔgbɔm eye eƒe nu ʋu, eye wòhea megbefɔ eveawo ɖe megbe.

Kadodo ɣaɣla si le avu ƒe dzi kple eƒe megbefɔ siwo tu dome¶

To vovo na avuwo la, ƒã hafi avuwo xɔa megbefɔwo ƒe lãmetutudɔ kpata le akɔta ƒe lãkusi siwo ge ɖe wo nɔewo dome ta. Le avũ siwo wu 85 va ɖo 90 le alafa me siwo megate ŋu zãa megbefɔ eveawo o zi ɖeka me la, nusi gbɔ wòtsonae nye ʋu si dona tso dzia me.

1. Silent Hypertrophic Cardiomyopathy (HCM): Aƒeme avuwo katã ƒe alafa memama 15 kloe (kple Maine Coons, Ragdolls, British Shorthairs, Sphynx, kple Persiatɔwo ƒe alafa memama 25 lɔƒo) tsɔa ɣaɣlaƒe Hypertrophic Cardiomyopathy, afisi miameʋuka ƒe gli ƒoa tititi le ɖoɖoezizi me le ƒe geɖe me evɔ mehea dzi aɖeke vɛ o liʋiliʋilili alo kɔdzidede.
2. Miame ƒe Ʋukawo ƒe Dzidziɖedzi kple Ʋu ƒe Ʋuʋu: Ʋu trɔna yia dzi yia miame ƒe xɔ si le etame (miame ƒe ʋuka), kekena ɖe enu wòkeke eye wònana ʋu si me ka le (thrombus) dzɔna.
3. Embolization to the "Saddle" of the Aorta: Ʋuʋudedi ma ƒe akpa aɖe gbãna, edaa tu aorta si le ɖiɖim la ɖe anyi, eye wògena ɖe ƒodoa ƒe megbe afisi aorta la ma (aortic trifurcation) ɖe iliac arteries siwo naa megbefɔ eveawo me.
4. Vasoconstriction and Ischemic Neuropathy: Ʋumenugbagbevi dzĩ siwo le ʋumenugbagbeviɣi yeyea me ɖea serotonin kple thromboxane A2 dona, si wɔnɛ be collateral pelvic vessels blana eye oxygen dɔa wua afɔ ƒe lãmekawo kple sciatic nerves.

"5 P's" siwo le Feline Saddle Thrombus Diagnosis me¶

Àte ŋu ade dzesi Saddle Thrombus si wosusu be ele ame ŋu le sɛkɛnd 30 me ne èlé ŋku ɖe "5 P's" siwo nye Acute Arterial Thromboembolism ŋu:

1. Vevesese: Avũa fa avi, ƒoa ɣli, ƒoa ƒoƒo, eye wòdoa pantalon kabakaba eye eƒe aɖe do le veveseseɖeamenu ƒe vevesese kple tsi si nɔa lãkusi me zi geɖe le ɣeyiɣi ɖeka me (dzitodzito ƒe dɔmawɔmawɔ nyuie).
2. Paralysis alo Paresis: Wohea afɔ ɖeka (ame 20 le alafa me) alo megbefɔ eveawo (80 le alafa me) ɖe avu la megbe. Afɔ ƒe lãmeka siwo le klo te la sesẽna abe kpe ene le ʋu ƒe sisi ƒe ʋuʋu ta, eye afɔkpodzi (hock) mete ŋu bɔbɔna o.
3. Pulselessness: Womate ŋu ase afɔkpodzi ƒe ʋuʋu aɖeke le dziƒo le avu ƒe ata ememetɔ ƒe eme (groin crease) o.
4. Pallor alo Cyanosis: Tsɔ megbefɔtiwo sɔ kple ŋgɔgbefɔwo. Le avu si le lãmesẽ me alo avu si xɔ abi le aklã me gome la, ŋgɔgbe kple megbe siaa nyea pink dzodzoe. Le Saddle Thrombus avu gome la, megbefɔtiwo kple ɖa ƒe abawo nyea ɣie, ɣie, alo blɔ viviti si le abe gbɔgbɔ ene.
5. Poikilothermia (Ice-Cold Paws): Tsɔ asi ɖeka xatsa ɖe ŋgɔgbefɔti ŋu eye evelia xatsa ɖe megbefɔti ŋu; megbefɔ siwo le klo te la sena le wo ɖokui me be vuvɔ fa miamiamia wòdzena le miniti 15 va ɖo 30 me.

Kpekpeɖeŋunana gbãtɔ kpata kple ʋuɖoɖo ƒe sewo na Saddle Thrombus¶

• Aɖabaƒoƒo ɖesiaɖe si lãwo ƒe opioid vevesesenutsitike manɔmee nye vevesese: Avũa tsɔtsɔ yi lãmesẽdɔwɔla si wɔa dɔ kpata gbɔ gaƒoƒo 24 le aɖabaƒoƒo 15 va ɖo 30 me hena methadone, fentanyl, alo hydromorphone dodo ɖe ʋuka me nye atikewɔwɔ ƒe nu vevitɔ kekeake.
• MÈGADE dzoxɔxɔnamɔ̃ alo tsi dzodzoe ɖe megbefɔ siwo fa miamiamia la ŋu GBEÐE o: Dzoxɔxɔ ƒe lãkusi si me ʋu sina tona le ʋukawo me mele o la nana lãmenugbagbeviwo ƒe dɔwɔwɔ kabakaba ne oxygen aɖeke mete ŋu ɖoa lãmenugbagbeviwo gbɔ o, si wɔnɛ be afɔ ƒe lãmekawo kuna kabakaba zi gbɔ zi etɔ̃. Na avu la nanɔ xɔme ƒe dzoxɔxɔ nu le afɔkpa ƒuƒu dzi.
• MÈGADE asi megbefɔ siwo xaxa la alo bɔbɔ wo GBEÐE o: Ne ètsɔ asi ƒo nyitsu ƒe lãmeka siwo me ʋu sina tona la gbãa lãmeka siwo le kukum, si wɔnɛ be myoglobin kple potassium si wua ame la dona ɖe ʋukawo me.
• Na avu la nanɔ anyi kpoo eye wòanɔ tsitrenu le agbatsɔnu si le etame me: Anɔ abe Avu siwo ŋu Saddle Thrombus le dometɔ 40 va ɖo 50 le alafa me xɔa dzitodzito ƒe dɔmawɔmawɔ nyuie (aklã me ʋuʋu) le ɣeyiɣi ɖeka me. Na ʋua nazi ɖoɖoe eye wòafa ale be avu la nate ŋu agbɔ agbagbadzedze aɖeke manɔmee.
• Nyagblɔɖi gɔmesese le ER Vet: Avũ siwo me megbefɔ ɖeka ko ŋue wògblẽ nu le, alo avu siwo léa akɔta ƒe ʋuʋu ƒe akpa aɖe ɖe te eye woƒe dɔgbo ƒe dzoxɔxɔ wu 37.2 degree Celsius (98.9 degrees Fahrenheit), ƒe agbetsitsi ƒe agbɔsɔsɔme nye 50 va ɖo 70 le alafa me be woaɖe wo ɖa kple vevesesenutsitikewo, ʋuɖetikewo (clopidogrel kple rivaroxaban alo heparin), kple dzidɔtikewo, si naa azɔlizɔzɔ ƒe dɔwɔwɔ gahayana le kwasiɖa 2 va ɖo 6 me. Avũ siwo ƒe megbefɔ eveawo tu, nyivi siwo sesẽ abe kpe ene, dzi ƒe dɔmawɔmawɔ nyuie, eye woƒe dɔgbo ƒe dzoxɔxɔ si mede 36.5 degree Celsius (97.7 degrees Fahrenheit) dze ŋgɔ nyagblɔɖi si nu sẽ wu (agbetsitsi 25 va ɖo 35 le alafa me), eye amewuwu le amewuwu me le vevesese dzi ɖeɖe kpɔtɔ megbe nye tiatia si me veveseseɖeamenu le ne womate ŋu aɖu fukpekpe dzi o.

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Akpa 3: Tsi me tsi goglo: Avuwo Kple Avuwo ƒe Akɔta ƒe Dɔmawɔmawɔ Nyuie (IVDD kple FCE) .¶

Ne avu (alo avu) va le ʋuʋum kasia le megbefɔwo me, ƒo afɔkpodzi ɖe eƒe afɔwo tame, do ɣli ne woka asi eƒe kɔ alo akɔta, alo he eƒe megbeƒu esi eƒe megbefɔwo gakpɔtɔ le dzo dam keŋkeŋ eye wole pink la, nudzɔdzɔ kpata la nye ahɔhɔ̃mekawo ƒe dɔwɔwɔ: Acute Spinal Cord Compression or Infarction.

Nu vevi eve siwo gbɔ avu ƒe megbefɔ ƒe lãmetutudɔ kpata tsona¶

1. Akɔtaƒuwo Dome Disc Dɔléle (IVDD, Hansen Ƒomevi I kple Ƒomevi II): Ƒu ƒe akɔtaƒu ɖesiaɖe dome la, akɔtaɖonu aɖe si xɔa ʋuʋudedi si woyɔna be intervertebral disc, si wotu kple gotagome asigɛ si me ka le (annulus fibrosus) si ƒo xlã titina falɛfalɛ (nucleus pulposus) la bɔbɔna.
2. Hansen Type I Disc Extrusion: Le chondrodystrophic (afɔ kpui) ƒomeviwo abe Dachshunds (afɔku 20 va ɖo 25 le alafa me le agbe me), French Bulldogs, Welsh Corgis, Beagles, Shih Tzus, Pekingese, Lhasa Apsos, Basset Hounds, kple Cocker Spaniels, si nye disk la ƒe titina falɛfalɛ ewɔa calcify kaba wòzua tomenu si le abe chalky ene ne exɔ ƒe 1 va ɖo ƒe 2. Le ʋuʋu si wowɔna edziedzi (ti kpo tso aba dzi alo ʋuʋu) me la, gotagome asigɛa vuvu eye disk si me kpe le la daa tu yia dzi yia aklã ƒe mɔ̃a me, eye wògbãa aklãa hegbãnɛ.
3. Hansen Type II Disc Protrusion: Le lã ƒomevi gãwo (German Shepherds, Labrador Retrievers, Dobermans, Rottweilers) siwo xɔ ƒe 5 va ɖo 12 me la, gotagome asigɛ si me ka le la dona ɖe dzi vivivi hafi wògblẽna ɖe edzi va zua megbefɔti ƒe lãmetutudɔ.
4. Fibrocartilaginous Embolism (FCE, "Akɔta ƒe Ʋuʋudedi"): Ebɔ ɖe lã ƒomevi siwo le dɔ wɔm le titina va ɖo gãwo me (Miniature Schnauzers, Boxers, Labradors, Great Danes, Irish Wolfhounds). Le titri alo duƒuƒu me la, disk ƒe ƒunukpeƒetetedɔ si sɔ ƒe kakɛ si wokpɔna le nusuekpɔmɔ̃ me gena ɖe ʋuka suesuesue siwo naa nuɖuɖu aklãa dometɔ ɖeka me, si wɔnɛ be ʋuka me ʋu ƒe sisi si me vevesese aɖeke mele o va nɔa aklã ƒe akpa ma. Zi geɖe la, avu siwo ŋu FCE le yelp zi ɖeka le kamedede me, woɖina enumake kple asymmetric paralysis (afɔ megbe ɖeka gbɔdzɔ wu evelia), woƒe aklã me vevesese ZERO le miniti ʋee gbãtɔawo megbe, eye wohayana to ŋutilã ƒe ɖɔɖɔɖo me amekoko manɔmee.

Lãwo ƒe Ahɔhɔ̃ŋutinunya ƒe Dzeside 5-Grade na IVDD (Kple "Vevesese Deto" Gaƒoɖokui) .¶

Lãwo ƒe ahɔhɔ̃ŋutinunyalawo da abi si woxɔ le aklã me ɖe hatsotso Dzeside 1 vaseɖe 5 me be woakpɔe ɖa be aɖaka me gbɔɖeme sesẽ ate ŋu ada akɔta alo nenye be ehiã be woawɔ ahɔhɔ̃mekawo ƒe dɔwɔwɔ kpata (hemilaminectomy) le gaƒoƒo aɖewo me hã:

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Afɔɖeɖe ɖesiaɖe ƒe liƒolili kple zero-flexion transport na avu alo avu si lãmetututɔ¶

Ne akɔtaƒuwo dome disk ƒe akpa aɖe vuvu (Dzeside 1, 2, alo 3) la, disk ƒe nu bubu siwo me calcified le la nɔa anyi ɖe aɖatsia gbɔ tututu henɔa lalam be woamimi ɖe dzi ayi aklãa me. Afɔ ɖesiaɖe si wò avu aɖe atso anyigba, alo ɣesiaɣi si woƒe akɔta ƒo ne wofɔe ɖe abɔta te la, eƒoa disk nu geɖe siwo le abe chalky ene ɖe aklã me, si trɔa Grade 2 wobble si woate ŋu atrɔ la wòzua Grade 5 ƒe lãmetutudɔ si womate ŋu atrɔ o.

1. Dzudzɔ ʋuʋu ɖesiaɖe le afisi avu la le tsitre alo mlɔ anyi le: Mègayɔ avu la be wòava gbɔwò be "wòadoe kpɔ" ne woate ŋu azɔ o. Zɔ yi avu la gbɔ.
2. Dzra ʋuɖoze sesẽ si le gbadzaa ɖo le avu la xa tututu: Le avu sue kple titina siwo ƒe kpekpeme mede kilogram 15 o kple avuwo gome la, tsɔ mɔzɔʋu si wotsɔa plastik sesẽ si ʋuna le etame alo plastik-klɔƒe sesẽ si wotsɔ afɔkpa si woxatsa blae la ɖe asi. Le avu gã siwo ƒe kpekpeme wu kilogram 20 gome la, zã plywood gbadzaa, nudzraɖoƒe ƒe agbalẽdzraɖoƒe, alo avɔ kpekpe si keke sesĩe si ame eve lé ɖe teƒe 6.
3. Wɔ "Two-Arm Horizontal Log-Roll Lift": Mègafɔ avu si wosusu be enye IVDD la yi dzi le ŋgɔgbe akɔta te eye megbeƒuwo le ƒoƒom gbeɖe o. Klo ɖe avu la xa, tsɔ abɔ ɖeka ƒu gbe ɖe akɔta te le ŋgɔgbe afɔwo ŋgɔ, eye nàtsɔ wò abɔ bubu si le tsia dzi la aƒu gbe ɖe akɔta te le megbefɔwo megbe ale be akɔta nanɔ tsia dzi 100 le alafa me eye wòanɔ sɔsɔm. Ðe avu la ɖe anyi tẽe ɖe aɖaka si me wofa nu ɖo la me eye nàbla afɔkpa siwo woxatsa ɖe axawo ŋu be wòagadze anyi ne èle brek ƒom o.
4. Mègana naneke to nu me hafi woawɔ dɔ nɛ o: Mègana nuɖuɖu, atike, tsi, alo atike aɖeke le mɔ dzi yina kɔdzi o ale be avu la nate ŋu awɔ atike si naa alɔ̃dɔdɔ ame enumake dedie hena MRI/CT scan kple hemilaminectomy amekoko.

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Aƒeme beléle kple mɔxexe ɖe dɔlélea gbugbɔgadzɔ nu le kɔdzi ƒe dodo vɔ megbe¶

• Na Post-Obstruction "Blocked Cats" (Preventing Re-Blockage): Lé ŋku ɖe aɖuɖɔ ƒe ƒuƒoƒo ƒe lolome ŋu gaƒoƒo 4 ɖesiaɖe le ŋkeke 7 gbãtɔwo me. Aɖuɖɔtoe sue siwo lolo abe ping-pong-ball ene alo aɖuɖɔ si ƒe amadede nye pink la toto ŋkeke 2 va ɖo 3 le catheter ɖeɖe vɔ megbe sɔ, gake ne avu la bɔbɔ eye aɖuɖɔ meɖiɖi zero o la, trɔ yi ER vet gbɔ enumake (gaxe mɔ na avu 15 va ɖo 35 le alafa me le kwasiɖa gbãtɔ me). Na tsinyegoe me tsinyegoe ƒe gbɔdzɔe kple vevesesenutsitike ɖesiaɖe si woŋlɔ na wò, eye nàtrɔ ɖe aɖuɖɔtoe me nuɖuɖu si le gaze me/tsi me 100 le alafa me si me tsidzɔƒewo le ŋu tegbee ale be aɖuɖɔa nanɔ ʋeʋẽm.
• Na IVDD Spinal Dogs on Strict Crate Rest (The 4-to-6-Week Protocol): "Strict Crate Rest" fia gaƒoƒo 23.5 gbesiagbe le xɔ sue aɖe me hena kwasiɖa blibo 4 va ɖo 6 esime intervertebral disc ƒe gotagome asigɛa le abi ƒom. Kplɔ avu la ɖe gota wòanɔ tsia dzi hena tsileƒe ƒe ɖiɖiɖeme aɖabaƒoƒo 5 ɖeɖeko, nàtsɔ aŋe si wotsɔ léa megbe alo tsilele ƒe afɔkpa si woxatsa la lé woƒe ƒodo ɖe te, emegbe nàtsɔ wo atrɔ ayi aɖakaa me tẽe eye womatsɔ ka aɖeke manɔ tsa ɖim o, xɔmenuwo ƒe atrakpui aɖeke mele wo ŋu o, eye atrakpui aɖeke mele wo ŋu o.

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Nya siwo wobiaa amewo enuenu¶

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Wolé ŋku ɖe dzɔtsoƒewo ŋu¶

• American College of Veterinary Internal Medicine (ACVIM) & American College of Veterinary Emergency and Critical Care (ACVECC) (United States / International): Nya siwo dzi woda asi ɖo le Acute Canine Thoracolumbar Intervertebral Disc Extrusion (IVDD), Feline Cardiomyopathies, kple Feline Aortic Thromboembolism (FATE) ƒe dɔlélewo didi kple wo dzi kpɔkpɔ ŋu.
• Cornell Yunivɛsiti ƒe Lãwo ƒe Atikewɔwɔ ƒe Kɔledzi, Cornell Feline Lãmesẽnyawo Gbɔkpɔƒe (United States): Feline ƒe Aɖuɖɔtoedɔléle (FLUTD), Urethral Obstruction Hyperkalemia Triage, kple Hypertrophic Cardiomyopathy (HCM) Mɔfiamewo.
• Dukɔwo Dome Avuwo ƒe Atikewɔwɔ Habɔbɔ (ISFM) & Amerika Avuwo ƒe Dɔdalawo ƒe Habɔbɔ (AAFP) (United Kingdom / United States): ISFM ƒe Mɔfiame Siwo Dzi Woda Ðe Edzi le Avũwo Kple Avuwo ƒe Aɖuɖɔtoedɔléle Dzi Kpɔkpɔ Ŋu.
• Royal Veterinary College (RVC) Neurology and Neurosurgery Service (United Kingdom): Avuwo ƒe Akɔta ƒe Abixɔxɔ ƒe Dzesidede Dɔnɔdzikpɔƒe (Dzeside 1 vaseɖe 5), Nociception Dodokpɔ, kple Conservative vs. Surgical Hemilaminectomy Outcomes.

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Mɔfiame siwo do ƒome kplii¶

• Avuwo ƒe ʋuʋu (GDV), aƒemelãwo ƒe dzoxɔxɔ, kple lãwo ƒe dɔléle kpata
• Avũ alo avu si ƒoa nu: aƒemelã Heimlich ƒe afɔɖeɖe kple lãwo ƒe CPR
• Aƒemelãwo ƒe aɖi kple aɖi ɖuɖu
• Avũ alo avu ƒe vidzidzi ƒe nɔnɔme kpatawo (dystocia) kple vidzĩ yeyewo ƒe gbeɖuɖɔwo gbugbɔgagbɔ
• Aƒemelãwo le nɔnɔme kpatawo kple amewo ɖeɖeɖa me
• Xexlẽdzesi siwo woxɔna kpata le dukɔwo nu