Tšebeliso ea sehlahisoa tabeng ea Feline Hypertrophic Obstructive Cardiomyopathy (HOCM)

Tlhahlobo e Ncha ea Tlhahlobo ea Feline Health Maker Combo Test Kit (5in1) -Sehlahisoa se sebelisoa tabeng ea Feline Hypertrophic Obstructive Cardiomyopathy (HOCM)

Lihlahisoa tse lethathamong la taba ena:
Teko e Ncha ea Tlhahlobo ea Feline Health Markers Combo Test kits (Setšoantšo sa 1, ka ho le letšehali) (plasma ea 50ul ka nako e le 'ngoe e ka lemoha feline pancreatic lipase (fPL), feline glycocholic acid (CG: tšenyo ea lisele tsa sebete le bile stasis), fNT-proBNP (index ea boima ba pelo) , cystatin C (CysC: glomerular filtration index), kakaretso ea allergen iGE (macromolecule immune allergy) ka 10 metsotso.

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1. Histori ea bongaka:

Katse ea American Shorthair, E Motšehali, 4Years.

Histori ea bongaka: Diaphragmatic Hernia, TMT (Transient Cardiomyopathy)

Tlhaloso ea mong'a:

Mong'a ntlo a qeta beke a ntse a lokisetsa katse lijo tse lekaneng. Ho na le katse e 'ngoe ea bacha ea Golden British Shorthair e lulang le eona. Likatse tse peli li phela hammoho ntle le khatello e hlakileng e bontšitsoeng katse. Kamora ho fihla hae, mong'a katse o ile a fumana katse e na le matšoao a ho hema ka thata le ho hema ka thata.

2.Litlhahlobo tsa laboratori

① Baetsi ba Bophelo ba Tlhahlobo e Ncha ba Kopanya Setšoantšo sa 2: liphetho li bonts'itse hore NT-proBNP e ne e le ntle haholo, 'me e kopantsoe le matšoao a kliniki, a fanang ka maikutlo a hore ho ka ba le mathata a pelo joalo ka ho hloleha ha pelo ho matla (AHF). FPL e ne e belaelloa (e phahameng), 'me ho ne ho hlokahala ho kopanya matšoao a mangata le liphello tsa kliniki ho nka hore ke ntlha ea bobeli. Kaha litsupa e ne e se phahameng, ho hlokahala feela ho ela hloko ho bona nakong ea phekolo. Matšoao a mang (sebete, gallbladder, liphio le allergy) a lekoa ka mokhoa o tloaelehileng pele a kena sepetlele. Moralo o mong oa tlhahlobo o ile oa khethoa hammoho le liphetho tsa tlhahlobo ea 5in1: Cardiac ultrasound le Digital Radiography.

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②Cardiac ultrasound Figure 3-6: liphetho li ile tsa fana ka maikutlo a AO ratio ea 1.92 le motsamao o sa tloaelehang oa pampitšana e ka pele ea mitral valve (Systolic Anterior Motion), bophara ba atrium ea 16 mm, hypertrophy ea myocardium ea sebaka sohle.

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③ Digital Radiography: Sebopeho sa matšoafo se ne se teteaneng 'me se lerootho, mokelikeli o ile oa eketseha ho pota-pota pulmonary vascular le bronchus, setšoantšo se ka pele se bontša letšoao la lipina tse peli,' me letšoao la donut le ka bonoa. Motsoako oa pelo o ne o sa tloaeleha e leng se neng se bontša edema ea pulmonary.

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Setšoantšo sa 7 DR letsatsing la pele la ho kena sepetlele (pulmonary edema)

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Setšoantšo sa 8 Setšoantšo sa ho hlaphoheloa ka mor'a phekolo ea matsatsi a mabeli

3.Liphetho tse felletseng tsa tlhahlobo

Systolic Anterior Motion (SAM) , Pulmonary edema

4. Keletso ea kalafo (Bakeng sa Referense Feela):

①Ho hema, diuresis, sedation
②Kalafo ea meriana

5.Meriana e sebelisoang hangata

Furosemide: 1-4 mg/kg iv, hang ka lihora tse ling le tse ling tse peli
Pimobendan: 0.25-0.3 mg / kg, hang ka lihora tse 12, po
Enalapril: 2.5 mg/po, q24h
Atenolol: 6.25 mg/e mong le e mong, po, q24h

6. Systolic Anterior Motion (SAM)

Systolic Anterior Motion. E atisa ho boleloa nakong ea tlhahlobo ea ultrasound ea pelo 'me e tloaelehile haholo maemong a kanghypertrophic obstructive cardiomyopathy (HOCM).

Mehato e akaretsang ea kalafo:

Taolo ea meriana: Ka tšebeliso e utloahalang ea meriana, e kang βblockers (e kang atenolol, joalo-joalo), bahanyetsi ba calcium (joaloka diltiazem, joalo-joalo), e ka fanang ka taolo e ntlafetseng ea boemo. Meriana ena e ka laola morethetho oa pelo, ea fokotsa konteraka ea myocardium, 'me ea ntlafatsa ts'ebetso ea diastolic ea myocardium, kahoo ea fokotsa mathata a amanang le lefu la pelo le myocardial ischemia e bakoang ke "SAM", e lumellang pelo ho sebetsa ka mokhoa o batlang o lekana. ho feta ka tloaelo, le ho fokotsa khafetsa matšoao a kliniki a kang dyspnea le syncope ka likatse. Likatse tse ngata li ka boloka bophelo bo batlang bo tsitsitse ka mor'a meriana e tloaelehileng. Mohlala, likatse tse ling tse nang le maemo a bobebe ho isa ho a itekanetseng li ka etsa mesebetsi ea letsatsi le letsatsi ka tloaelo kamora ho noa moriana, joalo ka ho tsamaea hantle, ho ja le ho noa, joalo-joalo.

Tsamaiso e Ntle ea Bophelo: Joalo ka ho fana ka sebaka sa bolulo se khutsitseng le se phutholohileng, ho qoba tšabo, ho ikoetlisa ka ho feteletseng, le ho ikoetlisa ka matla, hammoho le liphetoho tse loketseng tsa lijo, ho laola boima ba 'mele, le phepo e nepahetseng, le tsona li tla thusa ho laola boemo. Ka mohlala, katse e nang le "SAM" e boemong bo tsitsitseng e ka 'na ea e-ba le matšoao a eona a mpefala haeba e lula sebakeng se lerata' me hangata e lelekoa ke liphoofolo tse ling tse ruuoang lapeng le ho ikoetlisa ho feta tekano; Haeba e phela sebakeng se loketseng ’me e na le taolo e nepahetseng ea lijo, boemo ba eona bo ka laoloa ka mokhoa o tsitsitseng haholoanyane.

Ho hlahlojoa khafetsa: Isa katse ea hau sepetleleng sa liphoofolo tse ruuoang lapeng ho ea hlahlojoa khafetsa. Ka matšoao a NT-proBNP, ultrasound ea pelo, electrocardiogram, le liteko tsa index tse amanang le mali, u ka lula u lekola liphetoho tsa boemo le tšebetso ea pelo. Haeba u fumana hore phello ea ho laola meriana ha e ntle kapa boemo bo ntse bo tsoela pele, u ka potlakela ho fetola moralo oa phekolo, ho fetola mofuta oa meriana kapa ho fetola litekanyetso, joalo-joalo Sena se tšoana le leano la inshorense bakeng sa ho laola boemo, ho netefatsa hore taolo ea "SAM" e sebetsa haholoanyane ebile e tšoarella.

Motsamaisi oa Sehlahisoa sa Tlhahlobo e Ncha o na le seo a ka se buang

New-Test Feline Health Marker Combo Test Kit ke sehlahisoa se ntlafalitsoeng ke New-Test Biotech ka 2022 ka matsete a mangata a R&D. Ke sehlahisoa se bolokang chelete e ngata, se sebelisoang haholo-holo bakeng sa tlhahlobo ea selemo le selemo ea likatse tsa lilemo tse mahareng le tse tsofetseng. Ke 50uL feela ea plasma ea mali e ka sebelisoang ho lemoha li-index tse hlano tsa meriana ea ka hare e amanang le bophelo bo botle ka metsotso ea 10 ho hlahloba boemo ba bophelo bo botle ba manyeme, mosebetsi oa renal, sebete, gallbladder, pelo le ho kula ho feletseng. Litlhaloso tsa 'mele oa ho itšireletsa mafung li na le lintlha tse tobileng le tse nang le kutloelo-bohloko ho feta li-index tsa lik'hemik'hale tsa lik'hemik'hale, e le hore ho lemoha le ho phekoloa pele ho nako ho bohlokoa haholo, e seng feela ho fokotsa moroalo oa litšenyehelo ho beng ba liphoofolo tse ruuoang lapeng, empa hape le ho laola ka katleho phetoho ea lefu le sa foleng ho ea ho lefu le matla.

lipalopalo tsa data

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Ka lipalo-palo tse akaretsang tsa liteko tse sebetsang tse 58,766 (ho kenyeletsoalitlhahlobole tlhahlobo ea bareki) lilemong tse peli tse fetileng, sekhahla sa ho lemoha fpl ke 16.06%; tekanyo e ntle ea CG ke 21.4%; sekhahla sa ho lemoha fNT-proBNP ke 24.25%; tekanyo e ntle ea fcysc ke 6.06%; tekanyo e ntle ea ftIgE ke 55.43%; palo e tloaelehileng ea linyeoe tse fumanoeng kamang le manglesohakanale e ngata lisebelisoa tsa tekoe ne e le: 1.14, le palo e tloaelehileng ea linyeoe tse fumanoengka mong le e monglesohaMulti-channel test kitka mor'a ho tlosoa ha TIgE e ne e le 0.58 (liphanele tse tharolemohalinyeoe tse peli tse sa foleng). Kaha liphoofolo tse ruuoang lapeng ha li khone ho bua, li ke ke tsa nka bohato ba ho batla phekolo ea meriana ha li ikutloa li kula, ’me li ke ke tsa khona ho fetisetsa bohloko ba tsona le ho se thabise ha tsona ho lerato la tsona.beng. Thangata boemo ba hae bo se bo ntse bo mpefala haholo habengfumana, 'me bothata ba phekolo ea meriana bo eketseha ka nako ena. Ttekanyo ea ho phela ha phekolo e tlaase, 'me litšenyehelo tsa phekolo li turu haholo. TheNew-TekoBophelo bo Botle ba FelineMoetsi oa tlhahlobo ea lisebelisoa tsa combo 5in1e 'nile ea sebelisoa hangata ho hlahloba likatse selemo le selemo. Eonae ka hlokomela ketsahalo ea mafu a tloaelehileng a sa foleng ka likatse esale pele ho fihlela ho lemoha kapele le kalafo ea pele, leka katleho laola lefu le sa foleng ho isa tekanyong e tebileng ea ketsahalo. Eseng feelasireletsa bophelo bo botle ba liphoofolo tse ruuoang lapeng, empa hapeho fokotsa litšenyehelo tsohle tsa bongaka bakeng sabeng ba liphoofolo tse ruuoang lapeng.


Nako ea poso: Dec-07-2024