Aja gbe agbado kan mì, ibọsẹ, Egungun adiye ti o jinna, tabi awọn eso Macadamia: Nigbawo lati fa eebi laelae Vomit¶

Nigbati aja ba ja ibi idọti barbecue, agbọn ifọṣọ, tabi tabili ounjẹ ipanu kan ti o lọ silẹ ** adie ti o jinna tabi egungun egungun, ege oka kan lori cob, ibọsẹ meji tabi aṣọ abẹ, odidi pishi tabi ọfin piha oyinbo kan, tabi ikunwọ ti macadamia eso ***, ṣiṣe ipinnu iranlọwọ akọkọ ti ko tọ ni iṣẹju 10 ti ikun le yi pada si ikun ti o lagbara ni iṣẹju 10 akọkọ. ajalu. Aṣiṣe kan ti o lewu julo ti awọn oniwun ọsin ṣe ni ** fifi omi afọju 3 ogorun hydrogen peroxide si ọfun aja lati jẹ ki wọn le eebi egungun ti o jinna, nkan jagged nla, tabi cob oka ***: lakoko ti egungun didasilẹ nigbagbogbo n rọra * si isalẹ * esophagus pẹlu opin itọka itọka rẹ ti o ntọpa lẹhin, fipa mu aja naa lati fi agbara gbe e si isalẹ-pada soke. egungun ya taara nipasẹ ogiri esophageal ọtun lẹgbẹẹ ọkan ati ẹdọforo (thoracic esophageal perforation and septic pyothorax). Lọna miiran, nigbati aja gbe aṣọ rirọ kan ** sock *** laarin awọn iṣẹju 60 to kọja, emesis ti o niiṣe ti ogbo (or endoscopic retrieval) le gba aja naa lọwọ enterotomy iṣẹ abẹ ti o niyelori, lakoko ti aja ti o jẹ ** eso macadamia ** ndagba iyalẹnu, ẹru ** paralysis hindlimb igba diẹ ** laarin awọn wakati 6 si 12 ti o dabi ikọlu ọpa ẹhin (yet has a near-100-percent recovery rate with supportive care). Ti ohun ọsin rẹ ba n fun ni itara, gagging, pawing ni ẹnu rẹ, tabi titan buluu, tẹle wa choking aja tabi o nran: ọsin Heimlich ati CPR Ilana lẹsẹkẹsẹ (ati ki o wo gbogbo pajawiri awọn nọmba); bibẹẹkọ, lo itọsọna abẹ-abẹ ati itọsi toxicological lẹgbẹẹ aja jẹ xylitol, chocolate, àjàrà, tabi ibuprofen ati ologbo jẹ awọn lili, permethrin, tabi okun laini.

Ṣe eyi ni bayi¶

1. Duro: Ṣayẹwo Akojọ "MA ṢE fa Eebi" ṣaaju ki o to de hydrogen peroxide. MAṢE fa eebi ninu aja tabi ologbo ti wọn ba gbe:
2. ** Adie ti a ti jinna, Ẹran ẹlẹdẹ, Rib, Steak, tabi Egungun Ẹja *** (awọn pipọ sinu awọn igi gbigbẹ abẹrẹ ti o lacerate esophagus ni ọna afẹyinti).
3. Igi Skewers, Toothpick,Rinsin Abere,Fishhooks, Gilasi, tabi Sharp Plastic.
4. ** Awọn Kemikali Caustic, Awọn Batiri, tabi Awọn ọja Epo Epo.
5. ** Ohunkohun ti o wa ninu Brachycephalic (Flat-Faced) Aja *** (English Bulldog, French Bulldog, Pug, Boston Terrier, Shih Tzu, Boxer: eewu ti o ga pupọ ti pneumonia aspiration apaniyan nigbati eebi ni ile).
6. ** Eyikeyi ologbo (Never give 3% hydrogen peroxide to a cat):** Ninu awọn ologbo, hydrogen peroxide ẹnu fa apaniyan ** hemorrhagic, gastritis necroulcerative ati ọgbẹ esophageal *** (30% mortality in feline case reports).
7. ** Eyikeyi aja ti o jẹ alailara tẹlẹ, iwariri, alailagbara ni awọn ẹsẹ ẹhin (such as after eating macadamia nuts), tabi tẹlẹ eebi lori ara rẹ.
8. ** Ti aja rẹ kan gbe Adie Din, Tọki, Ẹran ẹlẹdẹ, tabi Egungun Rib kan mì (and is breathing/swallowing normally), ifunni "Bulky Bread / Mashed Potato Kushion" ki o si pe rẹ veterinarian.**
9. ** Kini idi ti sise ṣe sọ awọn egungun di awọn ọbẹ bii gilasi: ** Sise (roasting, boiling, frying, smoking, or microwaving) yọ ọrinrin collagen kuro ninu matrix egungun ati awọn ọna asopọ awọn kirisita hydroxyapatite nkan ti o wa ni erupe ile, ti o jẹ ki awọn egungun ti o jinna jẹ ki wọn bajẹ ni gigun ki wọn fọ ni gigun sinu awọn aaye didasilẹ nigbati o ba jẹ nipasẹ awọn mola carnassial aja kan.
10. ** Ilana Imuduro (Only if the dog is NOT gagging, drooling, or retching):** Pe dokita rẹ lẹsẹkẹsẹ; fun awọn ajẹkù egungun kekere-si-alabọde jinna ti o ti de ikun tẹlẹ, awọn oniwosan ogbo nigbagbogbo ni imọran ifunni jijẹ lọpọlọpọ, rirọ, ounjẹ fiber-giga lẹsẹkẹsẹ - gẹgẹbi ** 2 si 4 awọn ege funfun asọ tabi akara alikama odidi, awọn poteto ti a pọn, ti a fi sinu akolo elegede (pure) elegede (not pie filling), tabi jinna iresi funfun / oatmeal *** - eyi ti o yipo ni ayika egungun didasilẹ inu ikun bi bolus aabo nigba ti ikun hydrochloric acid (pH 1.0 to 2.0Ni okun sii ju acid inu eniyan) bẹrẹ sisọ ati rirọ awọn eti egungun tinrin ni ọna rẹ si ile-iwosan fun X-ray.
11. Ti aja rẹ ba gbe agbado kan mì, odidi Peach/Nectarine/Phado Pit, tabi Toy Rubber (Do NOT wait for vomiting to start. Ko dabi egungun adie ti a ti jinna (eyiti acid ikun le tu diẹ), ** oka agbado kan (even a 3-centimeter / 1-inch mini-cob round), okuta pishi, tabi mango / piha piha jẹ 100 ogorun indigestible *. Ìyọnu acid ko le rọ cob agbado kan nipasẹ milimita kan, ati pe o ni inira, afara oyin afara fọwọ ba awọ ara ifun kekere naa (jejunum/ileum) bii Velcro, wiwa nipasẹ odi ifun ati nfa idina ẹrọ pipe. Pe dokita ti ogbo rẹ tabi ER ti ogbo wakati 24 ** laarin wakati 1 si mẹrin akọkọ ** lakoko ti cob tabi ọfin ṣi joko ni ikun nibiti o le gba pada pẹlu irọrun ** endscope (without cutting open the abdomen).
12. ** Ti aja rẹ ba gbe ibọsẹ kan, Aṣọ abẹtẹlẹ, Toweli awopọ, tabi Pantyhose (Within the Last 1 to 2 Hours.** Awọn nkan asọ asọ (socks, underwear, plush-toy stuffing) jẹ idi # 1 ti yiyọ kuro ninu ikun ati inu ara ajeji ni awọn aja. Ti ingestion naa ba waye laarin awọn wakati 1 si 2 ** ati pe ohun naa jẹ ibọsẹ kokosẹ asọ kan ni alabọde-si-nla ti kii ṣe brachycephalic aja, yara lọ si ọdọ oniwosan ara rẹ lẹsẹkẹsẹ: injectable veterinary apomorphine tabi ropinirole eye drops ni ifijišẹ ṣe 80 si 85 ogorun ti awọn aja ti n eebi soke ni ile-iwosan rirọ ni iṣẹju 1 kan. 3,500-to-6,000-dola iṣẹ abẹ inu.
13. ** Ti aja rẹ ba jẹ eso Macadamia (Raw, Roasted, Salted, or White-Chocolate Macadamia Cookiesṣayẹwo iwọn lilo (>= 2.0 grams per kilogram) ati ki o ṣayẹwo fun chocolate/xylitol àjọ-eroja.
14. ** Ilana ti Atanpako (-1 Macadamia Nut per Kilogram of Body Weight):** Ekuro macadamia nut ti o ni aropin jẹ iwuwo ** 2.0 si 2.5 giramu . Njẹ diẹ bi ** 0.7 si 2.0 giramu ti eso macadamia fun kilogram ti iwuwo ara (roughly 1 nut per 1 to 2.2 pounds of dog, tabi o kan ** 4 si 5 eso macadamia ni 5-kg / 11-lb Miniature Schnauzer tabi French Bulldog ) nfa nla ** ailera ẹhin ẹsẹ ti n gun / paralysis, gbigbọn iṣan, lile isẹpo, ìgbagbogbo, ati iba (up to 40.5 C / 105 F* laarin awọn wakati 3 si 12, pẹlu eewu giga ti ** pancreatitis nla *** lati inu 75 ogorun ọra akoonu.
15. ** Ṣọra fun Awọn ami Alailẹgbẹ 5 ti Idilọwọ Ifun Ifun Pari (Requires Immediate Emergency Surgery.** Ni atẹle ** wakati 12 si awọn ọjọ 14 ** lẹhin eyikeyi ifura si nkan ajeji, yara lọ si ile-iwosan pajawiri ti wakati 24 ti aja tabi ologbo rẹ ba dagba:
16. ** Eebi projectile ti atunwi *** tabi ailagbara lati tọju paapaa awọn sips kekere ti omi si isalẹ (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 (kiko awọn itọju ayanfẹ), lilu ẹnu, tabi sisọ.
18. ** "Ipo Adura" (stretching front legs flat on the floor with the chest down and hind end sticking up in the air***, eyiti o jẹ iduro ti ireke ti Ayebaye fun irora ikun oke / pancreatic / duodenal irora.
19. Aisi otita (or straining to pass tiny drops of dark bloody liquid diarrhea around an obstruction)
20. ** Biba tabi tacky gums, oṣuwọn ọkan-ije (> 140 to 160 bpm), tabi ikun ti o nipọn, irora *** (ti o nfihan ifun inu ati peritonitis septic).

Igi ipinnu: Aja tabi o nran ti gbe egungun mì, oka agbado, ibọsẹ, ọfin, tabi eso macadamia¶

flowchart TD
    A["Aja tabi Ologbo Ti a gbe Egungun ti a jinna, Agbado Cob, Sock/Fabric, Stone-Fruit/Phado Pit, tabi Macadamia Eso"] --> B{"1. Ṣayẹwo Airway & Lẹsẹkẹsẹ Choking ami"}
    B -->|"Gaging ni agbara, fifun ni ẹnu, stridor ga-giga, cyanotic (bulu) gums, tabi ṣubu"| C["Pajawiri gbigbẹ CUTE: Ṣi ẹnu ki o gba NIKAN ti o ba han ni ẹhin ọfun -> Ṣe Canine/Feline Heimlich Thrusts tabi Awọn ifunkun Aya + Gbe Kẹkẹkẹ -> Yara si Vet ER ti o sunmọ julọ"]
    B -->|"Mimi ni itunu, ni anfani lati gbe itọ mì"| D{"2. Ohun kan pato wo ni a gbe mì?"}
    D -->|"Egungun ti a jinna (Adie, Tọki, egungun, ẹran ẹlẹdẹ, steak, tabi egungun ẹja)"| E["MAA ṢE JE ENIYAN (Egungun splinters perforate esophagus lori ọna soke). Ti aja ko ba ni gagging / eebi, funni ni aga timutimu (burẹdi rirọ / poteto mashed / elegede ti akolo) + Lọ si Vet fun X-ray & 72-hr perforation / àìrígbẹyà aago"]
    D -->|"Agbado Cob, Peach/Plum/Mango/Phacado Pit, tabi Roba Lile/Iṣu isere"| F["100% eewu idinaduro INDIGESTIBLE: Ma ṣe fa eebi ni ile fun jagged cobs/pits nla -> Rush to Vet laarin wakati 1 si 4 wakati fun Igbapada Endoscopic lati inu ṣaaju ki o to wọ inu ifun kekere ati nilo iṣẹ abẹ inu."]
    D -->|"Aṣọ Rirọ (Soki, Aṣọ abẹtẹlẹ, Ribbon, Okun, tabi Ohun isere Pipọ)"| G{"3. Awọn eya & Akoko Niwon Ẹṣọ Ẹjẹ"}
    G -->|"CAT pẹlu Okun/Ribbon/Orin OR Ọsin eyikeyi> 2 si 4 wakati sẹyin tabi eebi tẹlẹ"| H["MASE fa okun ti o sokun lati ẹnu tabi anus -> MASE fun peroxide fun ologbo -> Rush si Vet ER fun Ultrasound/X-ray & Endoscopy tabi Enterotomy Iṣẹ-abẹ"]
    G -->|"DOG ti kii ṣe brachycephalic gbe ibọsẹ rirọ mì < 1 si wakati 2 sẹhin pẹlu awọn ami aisan odo"| I["Lọ si Vet Lẹsẹkẹsẹ: Vet le ṣe abojuto Apomorphine / Ropinirole oju injectable lailewu lati fa emesis (85% aṣeyọri) tabi yọkuro nipasẹ iwọn"]
    D -->|"Awọn eso Macadamia (Aise, sisun, tabi ni kukisi/ipapọ itọpa)"| J["Ṣayẹwo fun Chocolate/Raisins/Xylitol co-ingestion -> Ipe Vet / Iṣakoso majele -> Ti o ba jẹun < 2 wakati sẹyin (ati pe aja ko tii riru / alailagbara), vet nfa emesis + Charcoal ti a ṣiṣẹ -> Atẹle 12 si 48 wakati fun paralysis Hindlimb ti o yipada & Pancreatitis"]

Pipajalẹ pajawiri-nipasẹ-ohun kan: Kini o ṣẹlẹ inu ara ẹran ọsin rẹ¶

Lo tabili lafiwe yii lati ni oye idi ti ọkọọkan ninu awọn ingestions ile marun ti o wọpọ nilo ilana ti o yatọ patapata:

Dive Jin 1: Awọn Egungun ti o jinna - Iṣẹ iṣe-wakati 72 ati Wiwo Ipa Rectal¶

Kilode ti awọn wolves igbẹ ati awọn apọn ṣe njẹ awọn egungun ẹran ọdẹ nigba ti aja inu ile ti o gbe ilu adie rotisserie ti o jinna tabi egungun egungun ẹran ẹlẹdẹ pari ni ICU ti ogbo? - ** Egungun Raw vs. Sise Egungun Biomechanics:** Egungun gbigbe ti o wa laaye jẹ aropo ti o rọ ti ** 35 ogorun rirọ Iru I collagen protein ** ati ** 65 ogorun calcium phosphate mineral . Nigba ti a ba se egungun kan, ti a yan, ti yan, tabi mu siga, ooru denatures awọn okun collagen, ti o fi silẹ lẹhin brittle, gilasi bi ohun alumọni ikarahun. Nigbati aja rẹ ba bu egungun adie ti a ti jinna ni idaji, o fọ ni gigun si ** 45-degree oblique awọn imọran abẹrẹ *** bi abẹrẹ hypodermic. - ** Bawo ni Acid Ìyọnu Canine Ṣiṣẹ (And Why the Bread/Pumpkin Cushion Helps): Iyọnu isinmi ti aja kan lakoko tito nkan lẹsẹsẹ silẹ si ** pH 1.0 si 1.5* (nearly 10 times more acidic than human stomach acid). Ti egungun adie kekere ti o jinna ba jẹ ki o sọkalẹ lailewu sinu esophagus sinu ikun lai gun ogiri, ti o ba jẹun ** akara rirọ, poteto ti a fi ṣan, tabi elegede ti akolo *, ohun meji yoo ṣẹlẹ: 1. Carbohydrates ti o tobi pupọ/fiber mash n wọ awọn imọran didasilẹ nitoribẹẹ isunmọ inu maṣe tẹ awọn abẹrẹ egungun igboro taara sinu odi ikun (preventing gastric perforation). 2. Iyọnu ounjẹ nfa awọn sẹẹli parietal lati ṣe ikoko hydrochloric acid ti o dojukọ (HCl) lakoko ti o tọju sphincter pyloric ni pipade to gun, fifun acid ikun ** 6 si wakati 12 ** lati leach kalisiomu lati inu awọn eegun tinrin tinrin ati yi awọn imọran didasilẹ wọn rubbery ṣaaju ki wọn kọja sinu ifun kekere. - ** Ọjọ 2 si Ọjọ 3 Ewu (Colonic & Rectal Bone-Gravel Impaction): Paapa ti awọn egungun ba kọja nipasẹ ifun kekere laisi pipọ, awọn ajẹkù egungun ti ko ni ijẹ ati chalky calcium-phosphate "yanrin egungun" kojọpọ ninu ti n sọkalẹ ni atẹgun atrectum ** 24 si 72 wakati nigbamii, nibiti oluṣafihan ti n gba gbogbo omi kuro ninu otita. Eyi yi awọn ajẹkù egungun pada si apata-lile, jagged egungun-concrete fecalith. - ** Awọn ami ikilọ ni awọn wakati 24 si 72: *** Aja rẹ rọ leralera lati ṣabọ (tenesmus), kigbe tabi kigbe ni irora lakoko ti o ni igara, ati pe o kọja nikan awọn isunmi ti ẹjẹ pupa didan (hematochezia) tabi ikun omi. - ** Kini lati ṣe: *** Ma fun eniyan ni Fleet rara (sodium phosphate) enemas si aja tabi ologbo *** (causes fatal hyperphosphatemia and hypocalcemic tetany), ati ki o ko gbiyanju lati fa egungun didasilẹ jade kuro ninu rectum pẹlu pliers. Oniwosan ẹranko yoo sọ aja naa danu, fun omi gbona ** iyo ati awọn enemas lubricant omi ti o ni ifofo, yoo rọra fọ soke ki o yọ okuta wẹwẹ egungun ti o kan jade pẹlu ọwọ laisi yiya ogiri rectal.

Dive Jin 2: Agbado Cobs, Awọn ibọsẹ, ati Avocado/Peach Pits - Pakute Ìyọnu "Ball-Valve"¶

Ọkan ninu awọn iyalẹnu ile-iwosan ti o ruju julọ fun awọn oniwun ohun ọsin jẹ ** eebi “Ball-Valve” lainidii **: - Bawo ni Agbado, Pipa Pit, tabi Sock Se pamo sinu Inu Fun Ose: Kasope Asepe Wura re gbe odidi avocado kan, okuta pishi, tabi ibọsẹ kokosẹ mì ni ọjọ Aiku. Nitori ọfin tabi ibọsẹ ti o ga soke jẹ ** 3.5 si 5 centimeters fifẹ , o tobi ju lati fun pọ nipasẹ dín ** pyloric ti njade ṣiṣan ** sinu ifun kekere. Lakoko ti o joko ni alaimuṣinṣin ninu ara akọkọ ti yara (fundus) ti inu, aja njẹ, mu, ati ṣiṣere ni deede fun awọn ọjọ tabpaapaa ** 2 si 4 ọsẹ **. Eto Ball-Valve Mechanism: Lẹẹkọọkan, lẹhin ti aja jẹun tabi mu omi nla nla kan, peristalsis ikun ti n fọ ọfin piha oyinbo yika tabi sock sinu apẹrẹ funnel ** pyloric antrum **, fifi ikun jade bi pulọọgi iwẹ roba. Awọn aja lojiji vmits soke awọn oniwe-undigested onje 2 to 6 wakati lẹhin ti njẹ; ni kete ti Ìyọnu ṣofo, awọn ọfin tabi sock yipo pada sinu roomy fundus lẹẹkansi, ati awọn aja lẹsẹkẹsẹ sise ebi npa ati deede - titi ti nigbamii ti akoko iho pilogi jade, tabi titi kan to lagbara isunki nipari jams awọn ohun partway sinu duodenum, nfa ** ńlá, ti kii-Duro projectile ìgbagbogbo ati aye-idẹruba kekere-ifun negirosisi ***.

Awọn ewu Majele Pataki ti piha oyinbo (Persin + 75% Fat) ati okuta-eso Pits (Cyanide)¶

1. ** Ẹran piha, awọ, ati ọfin (Persea americana):**
2. Ninu awọn aja ati awọn ologbo: Ko dabi awọn ẹiyẹ ọsin, ehoro, ẹṣin, ati ewurẹ (where the fungicidal toxin Persin in avocado leaves, bark, skin, and pits causes fatal myocardial necrosis, mastitis, and respiratory distress), aja ati awọn ologbo ni o jo sooro si * persin * funrararẹ. Dipo, ninu awọn aja, jijẹ piha oyinbo kan nfa awọn pajawiri ọtọtọ meji: **1. Idalọwọduro ara ajeji ti ẹrọ lati inu ọfin piha oyinbo ti o tobi, isokuso golf-boolu ti o ni iwọn piha oyinbo *, ati ** 2. Pancreatitis necrotizing nla ti o fa nipasẹ akoonu ọra ti o ga pupọ (15% to 30% fat by wet weight) ẹran piha ati guacamole (plus onion/garlic toxicity if the dog ate prepared guacamole).
3. ** Peach, Plum, Apricot, Cherry, ati Nectarine Pits (Prunus Awọn eya):**
4. ** Gbogbo iho ti a ko ni: *** Awọn okunfa ** idalọwọduro ifun kekere mechanical ** (awọn didasilẹ didasilẹ lori okuta pishi kan ti a rii sinu awọ jejunal gẹgẹ bi oka agbado).
5. ** Ekuro ọfin ti a ti fọ tabi jẹun (Cyanogenic Glycoside Toxicity):** Ninu ikarahun ita lile ti eso pishi kan, apricot, plum, tabi ọfin ṣẹẹri joko ni ekuro irugbin almondi ti o ni ọlọrọ ni ** amygdalin (a cyanogenic glycoside). Ti aja ti o ni jawed ti o lagbara ba fọ ọpọlọpọ eso pishi tabi awọn okuta apricot ṣi silẹ ti o gbe awọn ekuro inu mì, awọn enzymu gut ṣe hydrolyze amygdalin sinu ** hydrogen cyanide (HCN, eyiti o ṣe idiwọ mitochondrial ** cytochrome c oxidase (Complex IV**, idilọwọ awọn sẹẹli lati lo atẹgun. Awọn ami ti toxicosis cyanide nla han laarin iṣẹju 15 si 60: ** biriki-pupa (bright cherry-red) awọn membran mucous ***, panting panting (tachypnea), sisọnu, awọn ọmọ ile-iwe ti o fẹ, iṣan iṣan, ati iṣubu.

Dive jin 3: Macadamia Nut Toxicosis ninu Awọn aja - Kini idi ti Awọn Ẹsẹ Ẹyin Aja Rẹ Lojiji Duro Ṣiṣẹ¶

Awọn nkan diẹ ṣe ẹru oniwun aja diẹ sii ju ji dide ni wakati 8 lẹhin ti aja wọn kọlu apo ti eso macadamia (or white-chocolate macadamia cookies) ati wiwa aja wọn ** lagbara lati dide lori awọn ẹsẹ ẹhin rẹ (hindlimb paraparesis), gbigbọn laini iṣakoso, ati ṣiṣe ibà**.

Profaili ile-iwosan ti Majele Eso ti Canine Macadamia Nut (Unique to Dogs)¶

• Iwọn Iwọn Iwọn Majele: Awọn ami iwosan nwaye ni awọn iwọn kekere bi 0.7 giramu si 2.4 giramu ti eso macadamia fun kilogram ti iwuwo ara (ni aijọju ** nut nut fun 1 si 3 kilos [2.2 si 6.6 poun] ti iwuwo ara**).
• ** Akoko Ibẹrẹ (Hours 3 to 12):**
• ** Ailagbara Hindlimb & Ataxia (Present in > 80% of cases):** Ajá máa ń gbìyànjú láti dìde lórí ibùsùn rẹ̀, ó máa ń mutí yó lórí ẹsẹ̀ ẹ̀yìn rẹ̀, á fi ọwọ́ kàn án lẹ́yìn, tàbí kó fa ẹ̀yìn rẹ̀ sọ́dọ̀ ilẹ̀ bí ẹni pé ó rọ̀ (ascending pelvic limb paresis with depressed patellar reflexes).
• ** Apapọ & Irora iṣan (Arthralgia / Myalgia):** Ajá náà máa ń dà bí líle, kò fẹ́ rìn, á sì máa rẹ́rìn-ín nígbà tí wọ́n bá fọwọ́ kan ìbàdí tàbí ẹ̀yìn rẹ̀.
• ** Isan Isan Gbogbo Ara (50% of cases): ** Awọn gbigbọn gbigbọn ti o dara-si-sokuso (nigbagbogbo buru si nipasẹ irora ati iba).
• Eyi, Aibalẹ, ati Hyperthermia (Rectal Temp 39.7 to 40.6 C / 103.5 to 105.0 F)
• ** Hypertriglyceridemia Irẹwẹsi-Laipọn & Serum Lipase ti o ga (Pancreatitis Risk):** Nitoripe eso macadamia jẹ ** 75 si 80 epo ni iwuwo nipasẹ iwuwo ** (akoonu ti o sanra ti eyikeyi eso igi), alabọde ati awọn iru kekere (especially Miniature Schnauzers, Yorkshire Terriers, Poodles, Dachshunds, and Cocker Spaniels) koju eewu pataki ti ile-ẹkọ keji ** pancreatitis nla *** 24 si 72 wakati nigbamii.
• Irohin ti o dara (100% Reversible Neurological Recovery in 24 to 48 Hours): Botilẹjẹpe omi gangan tabi neurotoxin ti o ni ọra inu * Macadamia integrifolia * ati * Macadamia tetraphylla * ko jẹ idanimọ nipasẹ awọn onimọ-jinlẹ biokemika, idena ti iṣan ti iṣan ni ijumọsọrọ neuromuscular ireke / ọpa ẹhin jẹ ** 100 fun igba diẹ ati kii ṣe apaniyan **. Pẹlu itọju ti ogbo ti o ṣe atilẹyin (emesis tete ati eedu ti a mu ṣiṣẹ ti o ba mu laarin awọn wakati 2, itọju omi IV lati tutu iba ati awọn kidinrin ṣan, oogun oogun ọgbun.maropitant / Cerenia], irora iderun, ati ki o kan ti o muna olekenka-kekere sanra onje fun 5 ọjọ), ** fere 100 ogorun ti aja tun pada ni kikun, deede lilo ti won pada ese laarin 24 to 48 wakati *** pẹlu odo yẹ nafu bibajẹ.

Nigbawo ati Bawo ni Awọn oniwosan ẹranko vs. Awọn oniwun Ṣe Fa Eebi (And Why Salt Is Deadly)¶

Ti o ba pe oniwosan ara ẹni tabi Iṣakoso majele ti Ẹranko laarin ** 30 si 90 iṣẹju ** ti gbigbe-ailewu-si-vomit *** ingestion (gẹgẹbi awọn eso macadamia lasan, àjàrà, chocolate, tabi ohun elo asọ kekere kan ni ilera, ti kii ṣe brachycephalic aja), tẹle awọn ilana imunirun gangan wọn:

• ** Kilode ti Ile-iwosan ti Ile-iwosan Emesis Ṣe Ayanfẹ Nigbagbogbo (Apomorphine tabi Ropinirole / Clevor):** Awọn oniwosan ẹranko n ṣakoso ju silẹ ti ** ropinirole (Clevor*** tabi ** apomorphine *** sinu apo conjunctival (tabi IV), safikun ọpọlọ ** agbegbe okunfa chemoreceptor (CRTZ*** nipasẹ D2 Awọn olugba dopamine nitorinaa aja ṣe eebi ni mimọ laarin awọn iṣẹju 3 si 8.90%+ success rate). Ninu awọn ologbo, awọn oniwosan ẹranko lo injectable dexmedetomidine tabi xylazine (alpha-2 agonists), ọna ailewu nikan lati fa emesis ninu ologbo kan.
• Ti o ba jẹ itọsọna nipasẹ oniwosan ẹranko lati Lo 3% hydrogen peroxide (H2O2) ninu Aja NIKAN: Daju pe o jẹ tuntun 3% USP Hydrogen Peroxide Ìdílé (never hair-bleach 6% to 40% peroxide). Iwọn iwọn lilo ti ogbo (confirm by phone firstjẹ ** 2.2 milimita fun kilogram kan (1 mL per pound, tabi 1 teaspoon [5 mL] per 5 pounds***, titi di ** o pọju ti o pọju 45 milimita (3 tablespoons) *** fun eyikeyi aja nla, ti a fi sinu apo ẹrẹkẹ lẹhin ti o ti fi akara kekere kan silẹ. **Maṣe fun diẹ ẹ sii ju iwọn meji lọ lapapọ ***; excess peroxide nfa gastritis necroulcerative ti o lagbara ati iṣan gaasi toje.
• MASE Lo Iyọ Tabili, Omi eweko, Ọṣẹ Satelaiti, tabi Gaging ika: Sisọ sibi ti ** iyo tabili (sodium chloride*** isalẹ ọfun aja kan fa ** hypernatremia apaniyan nla (salt poisoning***, fifa omi jade ninu awọn sẹẹli ọpọlọ ati nfa edema cerebral, ikọlu, ati iku laarin wakati 2 si 6.

Awọn nọmba pajawiri agbegbe ati awọn ilana ile-ibẹwẹ¶

• Ilu Amẹrika ati Kanada: *** Pe ile-iwosan pajawiri ti ogbo fun wakati 24 ti agbegbe rẹ, Ile-iṣẹ Iṣakoso majele Eranko ASPCA (APCC) ni 1-888-426-4435***, tabi Line Pet Poison Helpline pa 1-855-764-7661 (24/7).
• United Kingdom: Pe oniwosan pajawiri wakati 24 rẹ tabi Line Poison Animal ni 01202 509000 (** Iṣẹ Alaye Awọn majele ti Ogbo [VPIS]**). Awọn alaanu UK pẹlu ** PDSA *** ati ** Agbelebu Blue ** kilọ lodi si fifun awọn egungun jinna tabi cobs agbado si awọn aja.
• European Union: Kan si ile-iwosan ogbo wakati 24 to sunmọ rẹ tabi ile-iṣẹ majele ti ogbo ti orilẹ-ede (CAPAE-Ouest ni Faranse ni 02 40 68 77 40).
• Australia ati Ilu Niu silandii: Pe Laini Iranlọwọ Awọn majele Ẹranko Ọstrelia ni 1300 869 738 (1300 TOX PET* ni ilu Ọstrelia tabi ** 0800 869 738** ni Ilu Niu silandii (nibiti abinibi Macadamia integrifolia toxicosis ninu awọn aja ni a kọkọ ṣe afihan nipasẹ Association Veterinary Veterinary Australia.AVA]).
• India ati Asia-Pacific: Tẹsiwaju si ile-iwosan ti ogbo wakati 24 to sunmọ rẹ tabi ẹka iṣẹ abẹ kọlẹji ti ogbo (wo pajawiri awọn nọmba).

Awọn ibeere ti a beere nigbagbogbo¶

Kilode ti o fi sọ pe ki o jẹ akara funfun rirọ tabi awọn poteto ti a fipa lẹhin ti aja mi ti gbe egungun adie ti a ti jinna mì, nigbati awọn itọnisọna iranlowo akọkọ eniyan sọ pe "Maṣe jẹ akara" ti ọmọde ba gbe egungun kan?¶

Nitoripe ireke ati anatomi gbigbe eniyan yatọ. Ninu ọmọde ti o ni eegun ẹja tinrin ti o ga ni awọn tonsils tabi ọfun, gbigbe akara ti o gbẹ gbe titari egungun jinlẹ sinu odi ọrun. Ni idakeji, awọn aja ni esophagus ti o gbooro ati gulp crunched adie egungun awọn ege taara sinu ikun. Ni kete ti awọn ajẹkù egungun didasilẹ didasilẹ wọn wa ninu ikun aja (pẹlu gagging odo tabi sisọ silẹ), fifun isunmi ti o tobi pupọ ti akara rirọ, awọn poteto didan, tabi elegede ti a fi sinu akolo yipo awọn eegun eegun inu ikun ki awọn ihamọ ko ba tẹ awọn abere egungun igboro sinu odi ikun nigba ti aja ti o lagbara hydrochloric acid (pH 1.0) mu eti egungun naa rọ.

Ṣe Mo le fun aja mi ni erupe ile tabi epo ẹfọ ni ile lati “fi lubricate” ibọsẹ mì, cob agbado, tabi egungun?¶

Maṣe fi epo ti o wa ni erupe ile, epo castor, tabi awọn agolo epo ẹfọ ni ẹnu si aja tabi ologbo. Epo nkan ti o wa ni erupe ile ko ni itọwo ati ailarun, nitorinaa awọn ohun ọsin kuna lati ṣe okunfa ifasilẹ gbigbe gbigbe aabo ati fa epo naa ni ipalọlọ sinu ẹdọforo, ti nfa pneumonia aspiration lipoid apaniyan. Nibayi, awọn agolo ti epo ẹfọ ti wa ni digement ni ifun kekere laisi idinku cob oka tabi sock lakoko ti o nfa pancreatitis nla.

Bawo ni pipẹ lẹhin ti aja mi ti gbe ibọsẹ tabi oka agbado mì le tun le fa idinamọ? Aja mi jẹ ibọsẹ kan ni ọjọ mẹwa 10 sẹhin ati pe o dara titi di jiju loni.¶

Ibọsẹ ti a gbe mì, aṣọ abẹ, cob agbado, tabi ọfin pishi le joko si inu ikun aja fun ọsẹ 1 si 6 ṣaaju ki o to fa idilọwọ ifun kekere kan. Lakoko ti ohun naa ba ṣubu sinu iyẹwu akọkọ ti ikun, ounjẹ ati omi ṣiṣan kọja rẹ pẹlu diẹ tabi ko si awọn ami aisan. Ni awọn ọsẹ diẹ lẹhinna, ihamọ ti o lagbara yoo fun sock tabi cob nipasẹ àtọwọdá pyloric sinu duodenum dín tabi jejunum, nibiti o ti ge ni wiwọ ti o si nfa eebi ti ko duro duro. Sọ fun dokita rẹ nigbagbogbo nipa eyikeyi nkan ti o gbe ni oṣu 1 si 2 sẹhin.

Aja mi jẹ eso macadamia 10 ni wakati 8 sẹhin ati ni bayi ko le dide duro lori awọn ẹsẹ ẹhin rẹ o si n mì. Ṣé ó ti rọ ara rẹ̀ títí láé?¶

Bó tilẹ jẹ pé ńlá macadamia nut hindlimb paralysis ati iwariri dabi ẹru, macadamia nut neurotoxicity ninu awọn aja jẹ 100 ogorun fun igba diẹ ati iyipada. Jẹ ki oniwosan ara ẹni ṣe akoso iṣakojọpọ ti chocolate, raisins, tabi xylitol, ṣayẹwo fun pancreatitis keji lati inu akoonu ọra ti o ga, ati pese awọn ito ati iderun irora. Fere gbogbo aja ti o ni toxicosis macadamia nut toxicosis nrin ni deede ni deede laarin wakati 24 si 48.

Ṣe awọn egungun eran aise jẹ ailewu fun awọn aja ti awọn egungun sisun ba lewu bi?¶

Awọn egungun aise tun gbe awọn ewu pajawiri pataki ti a kilọ lodi si nipasẹ AVMA ati FDA: crunching lile aise iwuwo-ara ọra egungun (malu femurs tabi antlers) jẹ awọn asiwaju fa ti irora "slab fractures" ti awọn oke kẹrin premolar ehin, ge-ìmọ yika ọra inu egungun oruka oruka nigbagbogbo isokuso lori isalẹ bakan ati titiipa sile awọn ireke eyin, Salmon poulter poultyl, E. coli awọn ewu.

Jẹmọ awọn itọsọna¶

• Choking aja tabi ologbo: ọsin Heimlich ati CPR
• Aja jẹ xylitol, chocolate, àjàrà, raisins, tabi ibuprofen: iṣiro iwọn lilo
• Ologbo jẹ awọn lili, permethrin aja eefa silė, tabi okun laini ara ajeji
• Aja jẹ Sago Palm, Amanita olu, tabi awọn ewe alawọ-alawọ-alawọ-alawọ: triage ẹdọ
• Awọn nọmba pajawiri

Awọn orisun ati osise itoni¶

• ** Ile-iṣẹ Iṣakoso majele ti Ẹranko ASPCA (APCC, Hansen, Buck, Khan et al., * Oogun ti ogbo , United States):* * Ailagbara, Ataxia, Tremors, ati Hyperthermia ti o ni nkan ṣe pẹlu Macadamia Nut (* Macadamia integrifolia *) Ingestion in Dogs: Dose-Response and Clinical Recovery Timeline *.
• ** Ile-ẹkọ giga Amẹrika ti Awọn oniṣẹ abẹ ti ogbo (ACVS, United States):** * Awọn ara Ajeji ti inu inu inu ninu Awọn aja ati awọn ologbo: Radiographic ati Ultrasonographic Diagnosis (Corn Cob Sign, Plication), Endoscopic Retrieval vs. Enterotomy, ati Septic Peritonitis Idena *.
• ** Isakoso Ounje ati Oògùn AMẸRIKA (FDA Ile-iṣẹ fun Oogun ti ogbo) ati Ẹgbẹ Iṣoogun ti Ile-iwosan ti Amẹrika (AVMA):** * Itaniji Aabo Olumulo: Kini idi ti Iwọ ko Fi fun Egungun ti o jinna (Chicken, Turkey, Rib, or Pork Bones) si Aja Re*.
• ** Iwe Iroyin ti Pajawiri Ile-iwosan ati Itọju Pataki (JVECC, Obr et al. / Niedzwecki et al.):** *Aabo ati ipa ti Emesis Veterinary (Apomorphine, Ropinirole) vs.
• ** Ẹgbẹ Ogbo ti ỌstreliaAVA) ati Ile-iṣẹ Awọn majele ti Eranko (McKenzie et al., * Iwe akọọlẹ ti ogbo ti ilu Ọstrelia , Australia):* * Iwa ti Canine Macadamia Nut Toxicosis ati Stone-Fruit / Avocado Ajeji Ara Awọn idiwọ *.