Exocrine Pancreatic Insufficiency
Juga dikenali sebagai: EPI
Ringkasnya
Exocrine pancreatic insufficiency (EPI) is a common gastrointestinal disorder in dogs and cats caused by a deficiency of digestive enzymes. Learn about the cardinal signs like weight loss and chronic diarrhea, how veterinarians diagnose the condition using the gold-standard TLI test, and the lifelong treatment strategies required to help your pet thrive.
TL;DR. Boleh diurus: enzim pencernaan tidak cukup; susut berat dan cirit-birit walaupun selera besar.
Pankreas menghasilkan hormon dan enzim.
Apakah ini?
Tanpa lipase, amilase dan protease: steatorrhea dan susut berat.
"The pancreas is the only significant source of lipase, so fat maldigestion with fatty feces (steatorrhea) and weight loss are the predominant signs of EPI."
Punca dan faktor risiko
Atrofi asinar (PAA) sering imunomediasi (German Shepherd). Kucing: pankreatitis kronik peringkat akhir.
Tanda yang perlu diperhatikan
- Susut berat (kardinal)
- Najis berminyak (kardinal)
- Cirit-birit kronik (kerap)
- Selera besar (kerap)
- Kurus, B12 rendah (kerap)
Kurus teruk dan bulu kusam adalah biasa.
Bagaimana doktor haiwan mendiagnosis
TLI serum berpuasa: ujian pilihan.
"Measurement of decreased TLI in the blood has a high sensitivity and specificity for the diagnosis of EPI in dogs and cats and is currently the single test of choice for diagnosis in small animals."
TLI ialah standard emas.
Pilihan rawatan
Enzim seumur hidup setiap hidangan.
"All dogs and cats with clinical EPI require enzyme supplementation for the rest of their lives."
Vitamin B12; diet mudah dicerna.
Prognosis
Baik jika respons kepada enzim dan B12.
Pencegahan
Jangan biak yang terjejas.
Bila hubungi doktor haiwan
Najis berminyak kembali, susut berat atau anoreksia: hubungi doktor haiwan.
Sumber
- Textbook of Veterinary Internal Medicine, 5th Edition, Pages 651, 653, 655.
My highlights & notes
Tanda & simptom
Baka berisiko lebih tinggi
Cara didiagnosis
- Serum trypsin-like immunoreactivity (TLI)Standard emas
- Canine pancreatic lipase immunoreactivity (cPLI)
- Fecal elastase
- Serum cobalamin concentration
- Serum folate concentration
Pendekatan rawatan
Rawatan mesti dipreskripsikan doktor haiwan berlesen. Dos khusus sengaja tidak dipaparkan.
Soalan lazim
What is Exocrine Pancreatic Insufficiency?
Exocrine pancreatic insufficiency (EPI) is a common gastrointestinal disorder in dogs and cats caused by a deficiency of digestive enzymes. Learn about the cardinal signs like weight loss and chronic diarrhea, how veterinarians diagnose the condition using the gold-standard TLI test, and the lifelong treatment strategies required to help your pet thrive.
What are the symptoms of Exocrine Pancreatic Insufficiency?
Weight loss (getting thinner)、fatty feces (steatorrhea)、Emaciation、Ravenous appetite、chronic diarrhea、hypocobalaminemia、Loss of appetite、Vomiting (throwing up)
How is Exocrine Pancreatic Insufficiency diagnosed?
Serum trypsin-like immunoreactivity (TLI)、Canine pancreatic lipase immunoreactivity (cPLI)、Fecal elastase、Serum cobalamin concentration、Serum folate concentration
How is Exocrine Pancreatic Insufficiency treated?
Rawatan mesti dipreskripsikan doktor haiwan berlesen. Dos khusus sengaja tidak dipaparkan.
Sumber
- Internal Medicine 5th · p. 655
- Internal Medicine 5th · p. 651
- Internal Medicine 5th · p. 653
- Internal Medicine 5th · p. 655
- Internal Medicine 5th · p. 653
Artikel ini untuk pendidikan umum dan bukan pengganti nasihat doktor haiwan. Jika haiwan sakit, rujuk doktor haiwan.
Bimbang tentang haiwan kesayangan?
AI Peqaboo membantu jejak simptom, faham laporan makmal dan tahu bila jumpa doktor haiwan.
Muat turun app Peqaboo