CKD 診斷和 IRIS 指南
08 7月
腎臟影像異常
例如腹部超聲波、X光片(X光)
幫助我們清楚地了解腎臟的狀況。 我們可以評估腎臟是否狀況良好,兩個腎臟是否健康,是否有任何腎臟萎縮的跡像等。
驗血報告可能會受到食物和水攝入量等因素的影響。 例如,如果貓不吃東西,它的 CREA 和 BUN 值可能會較低。 另一方面,即使腎臟功能正常,食用生肉高蛋白飲食的貓的 BUN 和CREA濃度也可能會升高。
準確了解貓的腎臟形狀,避免任何潛在誤診或耽誤病情,並確保提供適當的護理。 當貓被帶去檢查時,發現只剩下一個正常運作的腎臟,這種情況並不罕見。
尿液分析
在評估貓的腎臟健康狀況時,獸醫會考慮各種因素,例如尿液濃度、pH 值以及蛋白質、血細胞、細菌和其他異常細胞的存在。 這些指標共同提供了有關貓腎臟整體健康狀況的寶貴信息。
對於貓來說,健康的尿液比重應大於1.035。
對於疑似慢性腎病的病例,有必要培養尿液樣本,以消除尿路中潛在的細菌感染。 此步驟有助於確保準確的診斷和適當的治療計劃。
驗血
血液檢查是測量血尿素氮 (BUN) 和CREA水平的重要工具,
來代表尿毒素高低與腎功能好壞。 然而,在評估腎功能時,CREA通常被認為是一個更具體的指標。 如果貓血液中這些化合物的濃度升高,則可能表明貓的腎臟功能出現了一些問題。
下面的圖表可用於識別貓和狗慢性腎病 (CKD) 的不同階段:

IRIS CKD 診斷指南

IRIS 慢性腎病治療指南

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