Pyelonephritis
Juga dikenali sebagai: Acute pyelonephritis, Chronic pyelonephritis
Ringkasnya
Pyelonephritis is a serious bacterial kidney infection in dogs and cats that typically travels up from the bladder. Prompt veterinary diagnosis and targeted antibiotic therapy are essential to prevent permanent kidney damage or life-threatening complications.
TL;DR. Jangkitan bakteria ginjal yang serius, sering naik dari pundi; antibiotik tersasar dan rawatan awal untuk elak kerosakan ginjal kekal.
Pielonefritis menyebabkan lethargi dan penyakit sistemik.
Apakah itu?
Jangkitan pelvis renal dan parenkim. Biasanya naik dari saluran kencing bawah; jarang hematogen. Boleh akut atau kronik.
Punca dan faktor risiko
UTI terdahulu, anomali anatomi, air kencing cair, diabetes/Cushing/CKD. Tiada predisposisi baka didokumenkan.
Tanda
- Polidipsia/poliuria, demam, lethargi
- Sakit rusuk, belakang bongkok, anoreksia, muntah
- Hematuria, dehidrasi
- Jarang: anuria
Sakit rusuk dan postur bongkok adalah tanda jangkitan ginjal akut.
Diagnosis
Kiraan darah dan kimia, urinalisis, kultur urin aerob kuantitatif (standard emas), ultrasound; kadang pyelocentesis.
Ultrasound menilai saiz dan struktur ginjal.
Rawatan
Antibiotik 4–6 minggu mengikut kultur (fluoroquinolone seperti orbifloxacin kerap barisan pertama), cecair dan sokongan.
Prognosis
Baik jika akut dan dirawat awal; lebih berhati-hati jika kronik atau CKD. Urosepsis jarang.
Pencegahan
Rawat UTI awal, galakkan hidrasi, kultur berkala untuk pesakit berisiko.
Bila hubungi doktor haiwan
Segera jika demam, lethargi teruk, muntah, sakit belakang, hematuria atau urin berkurang/berhenti.
Sumber
- Internal Medicine, 5th Edition, pages 714, 716, 1336.
- Small Animal Critical Care Medicine, 2nd Edition, page 580.
My highlights & notes
Tanda & simptom
Cara didiagnosis
- Quantitative aerobic bacterial urine cultureStandard emas
- Abdominal Ultrasound
- Complete Blood Count (CBC)
- Intravenous pyelography
- Pyelocentesis
- Serum biochemical panel
- Urinalysis
Pendekatan rawatan
Rawatan mesti dipreskripsikan doktor haiwan berlesen. Dos khusus sengaja tidak dipaparkan.
Soalan lazim
What is Pyelonephritis?
Pyelonephritis is a serious bacterial kidney infection in dogs and cats that typically travels up from the bladder. Prompt veterinary diagnosis and targeted antibiotic therapy are essential to prevent permanent kidney damage or life-threatening complications.
What are the symptoms of Pyelonephritis?
Decreased appetite、Dehydration、Fever、Flank or dorsal abdominal pain、Blood in urine、Lethargy、Painful kidneys、Polydipsia
How is Pyelonephritis diagnosed?
Quantitative aerobic bacterial urine culture、Abdominal Ultrasound、Complete Blood Count (CBC)、Intravenous pyelography、Pyelocentesis、Serum biochemical panel
How is Pyelonephritis treated?
Rawatan mesti dipreskripsikan doktor haiwan berlesen. Dos khusus sengaja tidak dipaparkan.
Sumber
- Internal Medicine 5th · p. 716
- Small Animal Critical Care Medicine, 2nd Edition (VetBooks.ir) · p. 580
- Internal Medicine 5th · p. 714
- Small Animal Critical Care Medicine, 2nd Edition (VetBooks.ir) · p. 580
- Internal Medicine 5th · p. 1336
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