Eosinophilic Granuloma Hauv Miv: Cov Tsos Mob Thiab Kev Kho Mob Hauv Tsev, Kev Tiv Thaiv Thiab Cov Lus Pom Zoo Ntawm Kws Kho Tsiaj

2024 Tus sau: Bailey Albertson | [email protected]. Kawg hloov kho: 2024-01-17 22:35

Feline eosinophilic granulomas: txheeb xyuas thiab kho

Feline eosinophilic granuloma yog pab pawg ntawm daim tawv nqaij uas tshwm sim tab sis tsis nkag siab zoo. Nws yog ib qho tseem ceeb kom pom cov paib phom sij hauv tus tsiaj thiab nrhiav kws kho tsiaj kom raws sijhawm kom ntseeg tau tias tus miv mob tau txais qhov tsim nyog, feem ntau muaj kev kho mob tas mus li.

Cov Ntsiab Lus

• 1 Dab tsi yog eosinophilic granuloma hauv miv

  1.1 Cov ntsiab lus tseem ceeb los pab txhawb kev txhim kho kabmob

• 2 Cov ntawv ntawm eosinophilic granulomas

  • 2.1 Indolent (flaccid) mob rwj

    2.1.1 Cov Khoom Siv Duab: Indolent Ulcer hauv Cats

  • 2.2 Eosinophilic granuloma

    2.2.1 Daim Duab Lub Neej: Eosinophilic Granuloma hauv Cats

  • 2.3 Eosinophilic cov quav hniav

    2.3.1 Cov Khoom Siv Duab: Eosinophilic Plaque hauv Felines

• 3 Cov tsos mob tshwm sim ntawm eosinophilic granuloma
• 4 Muaj peev xwm tshwm sim thiab tshwm sim, kwv yees
• 5 Kev kuaj mob ntawm feline eosinophilic granuloma

• 6 Thaum koj yuav tsum tau ceev nrooj hu rau tus kws kho tsiaj

  6.1 Cov kev phais mob ntawm feline eosinophilic granulomas

• 7 Kev kho cov tshuaj feline eosinophilic granulomas hauv tsev

• 8 Cov tshuaj kho rau feline eosinophilic granulomas

  • 8.1 Cov tshuaj tiv thaiv thiab kho kom zoo

    • 8.1.1 Cov Lus: Tus Nqi Them Nyiaj Txawv ntawm Cov Corticosteroids
    • 8.1.2 Cov Lus: Cov Tshuaj Corticosteroid Muaj Cai Them Cov Tshuaj
  • 8.2 Tshuaj tua kab mob kho
  • 8.3 Kev Kho Mob Hauv Zos
• 9 Yog cov tshuaj hauv pej xeem siv hauv kev kho ntawm eosinophilic granulomas

• 10 Cov Kev Cai rau kev saib xyuas cov tsiaj muaj mob

  10.1 Kev Noj Qab Haus Huv

• 11 Cov yam ntxwv ntawm kev kho mob ntawm cov miv thiab menyuam menyuam

• 12 Kev Tiv Thaiv

  12.1 Kev phom sij rau tib neeg thiab lwm yam tsiaj nyeg

Dab tsi yog eosinophilic granuloma hauv miv

Eosinophilic granuloma ntawm miv yog hom ua xua. Nws yog ua raws li kev ua tsis tau ntawm eosinophils (cov qe ntshav dawb) los muab cov kev tiv thaiv tsis haum rau cov ua xua. Eosinophils tsim hauv thaj chaw tsis txaus ntawm daim tawv nqaij lossis cov qog ua kua, tsim thiab tswj kev tsom xam cov kev mob tshwj xeeb. Qhov no yog li cas eosinophilic granulomas tsim. Nrog rau chav kawm ntawm tus kab mob, cov ntaub so ntswg nyob ib puag ncig yog koom nrog hauv kev ua tiav. Thaum microbial secondary kab mob txuas nrog, mob nce ntxiv.

Dysfunction ntawm eosinophils yog congenital. Granuloma feem ntau tshwm sim hauv cov miv 3-5 xyoos. Hauv miv, nws zoo li qee zaus tsawg dua. Tsis muaj qhov sib deev yug tau txheeb xyuas tau pom. Cov peev txheej txawv teb chaws ua tib zoo hais tias, tejzaum nws, lub hav zoov Norwegian miv yog predisposed rau tus kabmob.

Lub hauv paus ua rau muaj kev txhim kho kabmob

Muaj qee tus naj npawb ntawm cov feem ntau uas feem ntau ua rau kev txhim kho kabmob:

• ua kev tsis haum ntawm cov yoov tom (zuam, yoov, dev mub);
• endoparasites (ntau yam helminthiases);
• ib puag ncig cov tshuaj lom (tsob paj ntoos, cov tais yas);
• kev tsis haum tshuaj rau kev siv tshuaj;
• fungal, kis mob.

Hauv qee kis, muaj kev tshwm sim ntawm eulinophilic granulomas, thiab qhov cuam tshuam ntawm cov teeb meem tawm ntawm tus miv raug cais tawm. Xws li cov kev txiav txim siab yog idiopathic.

Cov ntawv ntawm eosinophilic granulomas

Feline eosinophilic granulomas tshwm nyob rau ntau daim ntawv. Lawv yog cov raug thiab zoo tau lees paub los ntawm cov kws tshaj lij. Muaj cov ntaub ntawv xws li:

• mob plab (flaccid) mob rwj;
• eosinophilic granuloma;
• eosinophilic cov quav hniav.

Txij li thaum lawv sib txawv tshwm sim los ntawm tib cov mob ua xua, lawv feem ntau hu ua eosinophilic granuloma complex. Cov ntawv tuaj yeem nyob rau hauv ib qho miv ob leeg zuj zus thiab hauv kev sib txuam ntau yam. Lub peev xwm ntawm kev hloov ntawm granulomas rau cov quav hniav yog sau tseg.

Indolent (flaccid) mob rwj

Nws yog qhov cim los ntawm qhov chaw nyob ntawm ib lossis ob daim di ncauj sab saud thiab kis tawm ntawm daim tawv nqaij mus rau cov qog ua kua. Nws zoo li av yaig lossis mob rwj nrog cov ciam teb zoo thiab nce npoo. Xim - xim daj-daj daj, qee zaum whitish blotches ntawm necrosis yog pom. Nws tsis los ntshav, khaus, lossis mob. Qhov loj thiab tob ntawm lub rwj yog nyob ntawm theem ntawm tus kab mob. Kev kis mob o ua rau qhov o thiab deformation ntawm daim di ncauj, qee zaum ua rau cov nqaij mos uas nyob ib puag ncig.

Cov duab qhib: qhov ncauj plab tsis txaus hauv miv

Kev tsis nco qab txog qhov qis ntawm qhov mob tau ua rau nws tus kheej zoo li edema

Nrog lub caij nyoog ntev ntawm ob sab sib sib mob rau sab hauv tus miv, daim di ncauj deformed

Kev mob hnyav ua rau mob ncauj plab uas muaj feem xyuam ntawm sab saud thiab cov qog ua ke nrog necrosis thiab rhuav tshem cov ntu ntawm daim di ncauj

Eosinophilic granuloma

Eosinophilic granulomas nyob rau hauv lub qhov ncauj tshwm zoo li npluav thiab ua pob ntawm lub qhov ncauj, tus nplaig, thiab hauv pem teb ntawm lub qhov ncauj. Qee lub sij hawm lawv cov npoo yog nrog av yaig. Thaum hais tawm hauv qhov chaw ntawm lub puab tsaig, nws tsim cov lus sib lawv li lub puab tsaig rog - o, plaub hau qee zaum poob tawm thiab daim tawv nqaij ua. Thaum nyob ntawm paws, nws yog qhov tsim tuab uas ua rau muaj qhov khaus khaus heev, tau hais tseg hauv tuab ntawm lub paw los yog hauv qhov chaw sib tshuam. Ntawm ob sab, plab zom mov, qis dua ntawm cov ncej puab, nws cov qauv zoo nkauj heev intradermal thickenings ntawm ib txoj kab ncaj nraim - granulomas. Lawv cov xim nyob ntawm lub teeb paj yeeb txog daj-liab. Cov pob khaus thiab mob yuav txawv, qee qhov nws yuav ua rau mob hnyav, thiab lwm tus yuav tsis tuaj.

Cov duab khaws cia: eosinophilic granuloma hauv miv

Ib txoj kab granuloma ntawm tus ncej puab puab zoo li qhov ua intradermal thooj

Nrog eosinophilic granulomas, granulomatous masses yuav tshwm sim rau tus miv tus nplaig

Eosinophilic pododermatitis, edema thiab erosive granulomas kuj tseem tshwm ntawm cov pob txha

Cov quav hniav Eosinophilic

Cov quav hniav Eosinophilic yog qhov khaus hnyav los ntawm thaj chaw nrog thaj chaw ntshiab. Nws nce saum toj ntawm daim tawv nqaij, noo noo, ci thiab tsis muaj plaub hau rau nws. Ib qho chaw hauv zos twg yog qhov ua tau, tab sis qhov chaw nyob ib txwm muaj nyob ntawm lub plab, puab tais, ntxiv rau puab thiab sab hauv ntawm tus ncej puab. Cov qhov txhab mob txuas yuav sib nyiam, nce thaj tsam ntawm qhov chaw uas xeeb. Qhov mob ntawm eosinophilic plaque tau piav qhia los ntawm cov kws sau ntawv raws li tsis nco qab, tab sis nws yog qhov tseeb tias nrog kev kis kab mob thiab kev kos uas kov tsis taus, qhov mob siab yuav dhau los ua qhov txawv.

Cov duab khaws cia: eosinophilic cov quav hniav hauv miv

Qhov chaw raug ntawm ib qho quav hniav eosinophilic yog nyob rau sab hauv ncej puab

Ib pab pawg me me eosinophilic plaques muaj ib qho kev xav rau qhov sib xyaw

Eosinophilic plaques feem ntau tshwm sim hauv miv hauv plab, puab tais, thiab ncej puab

Cov tsos mob tshwm sim ntawm eosinophilic granuloma

Cov tsos mob ntawm tus kab mob yog txiav txim siab los ntawm ntau yam:

• cov theem ntawm kev ua haujlwm ntawm cov kev tsis haum thiab lub sijhawm ntawm nws cov chav kawm;
• qhov mob hnyav heev ntawm cov cim ntawm theem nrab, twb muaj kab mob ua paug;
• yam tshwm sim, xws li cov tsos mob ntawm tus mob fungal ntawm daim tawv lossis khaus.

Cov tsos mob tshwm sim tsis yog tshwj xeeb. Xws qhov kev tuaj yeem ua tau:

• cov tshuaj tiv thaiv ntawm cov qog ntshav hauv cheeb tsam: yog tias thaum pib ntawm tus kab mob nws yog qhaj ntawv los yog muaj qhov hloov me me hauv cov qog ntshav, tom qab ntawd nrog kev txhim kho ntawm tus kabmob, qhov nce ntawm thaj chaw mob thiab ntxiv rau cov kab mob hauv cov nyom, cov qog ntshav nce zuj zus, dhau los ua cov tuab, mob, sib koom ua ke rau hauv hnab;
• kev txhim kho ntawm cov kab mob ua paug rau cov ntshav khov hauv cov mob hnyav: nrog rau kev txhim kho nrog kev sib xyaw ua ke nrog cov kab mob ua rau lub cev kub hnyiab, nce hauv lub cev kub, nkees, ua tsis tau rau lub siab thiab ua si ntawm tus miv yog ua tau;
• ib qho kev txo qis hauv lub cev qhov hnyav hauv kev ua txhaum ntawm kev zom thiab nqos nrog localization ntawm granulomatous kev loj hlob hauv lub qhov ncauj, eosinophilic qhov txhab ntawm lub plab zom mov lossis mob ntev ua mob nrog pyoderma;
• tshwj xeeb kev puas tsuaj rau lub plab zom mov nrog lub caij nyoog ntev ntawm tus kab mob thiab qhov tsis muaj kev kho mob - kev txhim kho ntawm eosinophilic gastritis thiab enteritis;
• hauv kev kis mob siab - ua kom lub siab, tus po, ntshav tawm ntawm lub qog ntshav uas tsis yog thaj av rau kev ua kom pom tseeb ntawm granulomas;
• Hauv kev sim tshuaj, eosinophilia nyob rau hauv cov ntshav peripheral txog 20% ib txwm nyiam mloog, tej zaum yuav muaj qhov poob qis hauv tag nrho cov protein, nrog cov kab mob mus ntev, tus mob hypegammaglobulinemia tau pom nyob hauv cov proteinogram, thiab qee cov neeg sau ntawv taw qhia kom pheej tsis tshua nce ntxiv. amylase tsis tau.

Muaj peev xwm tshwm sim thiab tshwm sim, kwv yees

Yog tias tus miv tsis tau txais kev kho mob nyob rau theem ntawm kev nthuav qhia hauv zos ntawm tus kab mob, kev ua xua ntawm lub caj pas thiab mob caj pas mob eosinophilic mob plab yuav tshwm sim, uas ua rau muaj kev cuam tshuam ntau ntxiv ntawm kev ua tsis zoo eosinophils hauv txoj kev pathological:

1. Ua xua rau cov tawv nqaij ua xua, lossis mob ua paug. Nws ua tau nws tus kheej rau cov pob khaus me, zoo li pob kws rau hauv daim ntawv ua npuas thiab tubercles thoob plaws lub cev, liab ntawm cov cheeb tsam cuam tshuam, khaus khaus. Qhov tsim ntawm qhov tsawg tshaj plaws ntawm kev yaig yog qhov yam ntxwv, tom qab ntawd muab txiab, uas sib koom ua ke. Lub tsho loj yog thinning thiab poob tawm. Hauv qhov mob ncua ntev ntawm tus kab mob, cov chaw ntawm liab tau hloov los ntawm tsaus xim, thiab acanthosis dub yog tsim. Muaj kev pheej hmoo siab ntawm kev kis tus kab mob thaum lub sij hawm suav thiab kev txhim kho ntawm cov pob zeb theem nrab. Hauv kev ua kom zoo li qub, tus mob hu ua scab.
2. Eosinophilic lub plab zom mov thiab mob hlwb. Eosinophilic infiltration ntawm lub plab phab ntsa thiab cov hnyuv me tshwm sim. Lub plab zom zaws qhov yog tuab, nthuav dav. Tsiaj txhu poob ceeb thawj, cov quav tsis tau zoo nkauj, feem ntau nrog kev kho kom zoo ntawm cov ntshav. Nquag nquag ntuav tau.

Cov teeb meem feem ntau uas cuam tshuam yog theem nrab pyoderma - kis kab mob thiab txhawb nqa ntawm thaj chaw cuam tshuam. Nws cov cim:

• pos huab tawm tuaj, qhov mob tshwm tuaj;
• o thiab liab kis mus rau lwm cov ntaub so ntswg;
• lub cev kub nce;
• qhov tshuaj tiv thaiv los ntawm cov qog ntshav hauv lub cev tau qhia hauv daim ntawv ntawm lawv kev loj hlob thiab mob ntawm palpation;
• qhov kev nyab xeeb qhov zoo ntawm tus miv zuj zus vim yog qhov quav loj tuaj.

Kev soj ntsuam rau cov miv uas ib tus allergen tau txheeb xyuas thiab nws yog qhov ua tau kom tshem tawm kev sib cuag nrog nws yog qhov txaus siab: tus kab mob ploj mus yam tsis muaj kab tom qab kev kho mob. Lwm qhov xwm txheej, koj yuav xav tau kev kho mob ntev thiab rov qab kho dua, kuaj xyuas cov neeg sab nraud tas li. Qhov tsis muaj lus teb rau txoj kev kho mob, nrog rau cov tsos ntawm kev phiv tshuaj rau txoj kev kho, paug qhov tshwm sim. Veterinary kev kho mob nce lub sijhawm ntawm kev zam rau 6-8 lub hlis, txhim kho lub neej zoo, thiab tseem tuav nws lub sijhawm ntawm cov qib ib txwm rau miv.

Kev txheeb xyuas ntawm lub eosinophilic granuloma ntawm miv

Muab cov yam ntxwv ntawm tus yam ntxwv, cov tswv cat muaj peev xwm yuav tsis muaj kev tsis ntseeg tias yog eosinophilic granulomas. Qhov no yuav muab qhov zoo rau koj mus ntsib koj tus kws kho tsiaj thaum ntxov. Nws tsis tuaj yeem ua kom muaj kev kuaj mob ntawm koj tus kheej. Rau qhov no, kev tshuaj xyuas, anamnesis sau thiab ib chav kuaj kev sim yog nqa tawm. Tab sis nws kuj yog qhov yuav tsum tau cais tawm cov kev kuaj mob nrog cov tsos mob zoo sib xws. Tsuas yog tom qab ntawd, cia siab rau cov txiaj ntsig tau, pib xaiv txoj kev kho.

Kev kuaj mob pib nrog anamnesis:

1. Nws yog tsim los thaum thawj zaug tshwm sim ntawm tus kab mob no tshwm sim, lawv zoo li cas, yam dab tsi ua ntej nws, txawm hais tias muaj cov kab mob muaj keeb mus rau pathology ntawm lub cev.
2. Yuav muaj cov tsiaj uas tsis muaj cov cab ntau, dev mub, zuam, thiab raws li cov tuaj yeem thiab kis kis.
3. Kev noj haus tau txheeb xyuas thiab cuam tshuam los ntawm lwm yam kev ua xua vim tias sab nraud tau kawm.
4. Tus kws kho mob tshawb thiab cais cov txiaj ntsig - qhov ua rau ua rau muaj mob. Qhov ze tshaj plaws yog them rau qhov no. Txhawm rau tshawb nrhiav kev ua xua nyob rau hauv ib puag ncig sab nraud, kev sim tshuaj tiv thaiv ua xua ntawm daim tawv raug siv.

Tom qab ntawd, nws yog qhov yuav tsum tau tshem tawm cov kab mob nrog cov tsos mob zoo sib xws:

• qog, tshwj xeeb tshaj yog squamous cell carcinoma;
• lupus ntawm daim tawv nqaij;
• kis, fungal, mycobacterial kis;
• kev siv tshuaj yaj yeeb;
• kub hnyiab nrog cov quav caustic;
• tom los ntawm lwm yam tsiaj;
• thermal puas tsuaj.

Txhawm rau txheeb xyuas qhov mob, kev ntsuam xyuas tawv nqaij ntawm daim tawv nqaij yog ua tiav. Volumetric granulomatous formations tau tshuaj xyuas los ntawm kev zoo-rab koob aspiration biopsy. Cov khoom siv raug tshem tawm los ntawm ulcerative tsis xws luag los ntawm seem. Hauv cov khoom siv cytological nrog eosinophilic granulomas, ntau eosinophils, histiocytes tau txiav txim siab. Koj tseem tuaj yeem ua cov kab mob bacteriological los txiav txim siab rhiab rau tshuaj tua kab mob, yog tias tsim nyog.

Nws yog tsis yooj yim sua kom tsim kev muaj tus kheej ntawm eosinophilic granulomas, kev pab ntawm kws kho tsiaj yog xav tau

Tus kws kho mob thim cov ntshav rau kev tsom xam dav dav thiab biochemical. Tsis muaj qhov tshwm sim tshwj xeeb rau granulomas hauv nws, tab sis kev tsom xam yuav tsum sau cov ntaub ntawv hais txog lub xeev kev ua haujlwm ntawm tus miv lub cev, nrog rau kev txheeb xyuas cov teeb meem metabolic - lub raum tsis ua haujlwm, mob ntshav qab zib mellitus, nplooj siab tsis ua haujlwm. Qhov no yeej txo cov kws kho mob lub pob khaus, tab sis tiv thaiv tus miv los ntawm kev kho teeb meem. Yog tias tsim nyog, tus kws kho tsiaj sau ntawv tso zis, tso ntshav ntawm lub cev.

Thaum koj yuav tsum tau mus ntsib tus kws kho tsiaj sai sai

Qhov thov rov hais dua rau tus kws kho tsiaj yog qhov tsim nyog:

• yog tias muaj kev xav txog eosinophilic granuloma: thaum ntxov tus kws kho mob pom tus miv, kho mob yooj yim dua thiab ua rau muaj kev cuam tshuam zoo dua;
• yog tias tsis muaj qhov tshwm sim ntawm txoj kev kho mob uas tau ua nyob rau lub sijhawm tsim lub sijhawm, tib qhov loj me ntawm kev puas tsuaj, mob, khaus tseem: cov kev kho mob yuav tsis ua haujlwm;
• thaum cov tsos mob ntawm tus mob tshwm sim los yog sib zog: cov kab mob muaj feem ntawm kev cog qoob loo tuaj yeem koom nrog;
• nrog rau kev txhim kho cov kev mob tshwm sim thiab cov teeb meem ntawm kev kho mob - lawv feem ntau tau ceeb toom txog, sau ntawv rau ib lossis lwm hom kev kho;
• thaum tus mob miv hloov pauv vim kev ua haujlwm ntawm qhov muaj txiaj ntsig ntxiv, piv txwv li, kev lom zem nrog kev hnoos nrog ntuav thaum kho nrog tshuaj: kev kho mob tsis tuaj yeem cuam tshuam, kom hloov daim ntawv tshuaj ntawm cov tshuaj, sab laj nrog kws kho mob;
• nrog rau tej kev pauv tsis zoo hauv kev noj qab haus huv cat.

Kev kho mob phais mob ntawm feline eosinophilic granulomas

Txij li eosinophilic granuloma yog kab mob hauv cov kab ke, qhov tseem ceeb tseem nyob nrog kev kho mob tshuaj. Kev phais kho yog qhia nyob rau hauv kis ntawm kev tsis kam mus rau kev kho ntawm ib leeg loj cov quav hniav thiab granulomas. Qhov no tuaj yeem kho zoo nkauj nrog pob taws, laser vaporization lossis cryodestruction. Nrog rau kev phais mob, rov tshwm sim feem ntau. Ua ntej nws, nws yog ntshaw kom ntxuav cov quav hniav nrog cov tshuaj tua kab mob los tiv thaiv kev kis tus kab mob mus rau cov nqaij mos uas nyob ib puag ncig thaum sib kho.

Kev kho mob ntawm feline eosinophilic granulomas hauv tsev

Kev kho mob hauv tsev tsuas yog ua tiav ntawm tus kws kho tsiaj sau daim ntawv yuav tshuaj. Cov lus qhia hauv qab no feem ntau yog muab rau:

• thaum pib ntawm kev kho mob, tiv thaiv tus miv los ntawm kev puas tsuaj rau tus kheej los ntawm khawb thiab licking: kom paub meej tias muaj cov ntaub mos mos lo rau ntawm daim tawv muag, tiv thaiv thoob plaws, tiv thaiv "Elizabethan" dab tshos;
• yog tias qeb pib tshwm sim lawm, tom qab ntawd tiv thaiv tus miv los ntawm nws cov cawv, piv txwv li, los ntawm yoov tshaj cum;
• muab cov tsiaj cov tshuaj los ntawm tus kws kho tsiaj;
• nqa tawm kev kho mob hauv zos siv cov kev daws teeb meem thiab tshuaj pleev raws li qhia los ntawm tus kws kho tsiaj;
• muab cov khoom noj tshwj xeeb rau cov miv (muaj txiaj ntsig rau cov khoom noj tsis haum lossis tsis rog dua);
• soj ntsuam tus miv cov xwm txheej hauv puab;
• Nqa tus miv mus rau tus kws vet mus kuaj.

Txhawm rau kom tsis txhob khawb thiab kis mob ntawm daim tawv nqaij voos, siv ib pob ntseg ntseg tiv thaiv

Cov tshuaj noj rau cov tshuaj feline eosinophilic granuloma

Hauv kev siv tshuaj, cov chaw hauv qab no muaj qhov txawv:

• kev kho mob etiotropic - tsom rau tshem tawm qhov tseem ceeb uas ua rau ua xua, piv txwv, kev kho mob ntawm demodicosis lossis deworming;
• anti-inflammatory, immunosuppressive txoj kev kho - kev tsocai ntawm cov tshuaj tiv thaiv pathological ntawm lub cev;
• tshuaj tua kab mob - kho yog tias muaj tus kab mob thib ob kis;
• kev kho cov tsos mob - tsom rau kev txhim kho kev ua haujlwm ntawm cov kabmob;
• kev kho hauv zos - thov kev daws teeb meem thiab tshuaj pleev ncaj qha rau ntawm daim tawv.

Nyob ntawm cov xwm txheej, tus kws kho tsiaj ua ke cov lus qhia, ua ib qho kev pabcuam kho mob rau txhua tus miv. Cov tshuaj siv rau kev kho mob etiotropic thiab cov tsos mob muaj ntau yam sib txawv, thiab cov tshuaj ua kom muaj tshuaj tiv thaiv, tshuaj tua kab mob thiab kev kho hauv zos yog tas mus li.

Anti-inflammatory thiab immunosuppressive txoj kev kho

Ob yam tshuaj yog siv:

1. Corticosteroids. Lawv muab cov tshuaj tiv thaiv sai, los tiv thaiv kab mob thiab tawm tsam, txo cov roj ntsha me me hauv cov xov foci thiab thaiv kev tso tawm ntawm cov neeg kho mob los ntawm cov hlwb. Siv Tau:

   • prednisolone ntsiav tshuaj 1-2 mg / kg txhua 12-24 teev, tom qab ntawd maj mam nce ntxiv mus txog 48-72 teev - nws yog ib qho tseem ceeb rau kev kho mob ntxiv txawm tias tom qab cov cim ntawm granuloma ploj mus tsawg kawg hauv ib lub lis piam;

   • cov qauv ntawm cov ntsiav tshuaj prednisolone:

     • methylprednisolone (0.8 koob ntawm prednisolone);
     • dexamethasone (0.15 txhaj tshuaj ntawm prednisone);
     • triamcinolone (0.25-0,8 koob tshuaj prednisolone);

   • cov ntawv txhaj ntawm corticosteroids (muaj txiaj ntsig, qhov ua tau zoo tshwm sim nyob rau hauv 24-48 teev tom qab thiab kav ntev li ob peb hnub mus rau ntau lub lis piam, tab sis qhov kev pheej hmoo ntawm kev txhim kho immunosuppression thiab ntshav qab zib mellitus nrog kev siv cov ntawv ntev yog siab dua li siv cov ntsiav tshuaj):

     • dexamethasone s / c, i / m (Dexafort 0.3 - 0.7 ml ib miv);
     • methylprednisolone acetate i.m. (Depo-Medrol 0.25 - 0.5 ml ib miv);
     • triamcinolone (Kenalog IM 0.2 - 0.5 ml ib miv).

2. Cytostatics (tshuaj tiv thaiv kab mob). Yog tias qhov kev tshwm sim ntawm eosinophilic granulomas rov qab nrog qhov txo qis dua ntawm koob tshuaj thiab zaus ntawm kev tswj hwm ntawm corticosteroids, tom qab ntawd lawv hloov mus rau kev kho ua ke nrog cytostatics. Lawv qhov kev ua yog tsom rau ntawm kev tawm tsam pathological cell. Siv lawv rau cov granulomas, lawv xav tias yuav txwv qhov tsim kom muaj eosinophils hauv cov leeg pob txha. Lawv yog cov tshwm sim los ntawm cov kev mob tshwm sim los ntawm cov zom zaub mov (xeev siab, ntuav, raws plab), nrog rau los ntawm sab pob txha pob txha (hematopoiesis) (platelets yog thawj qhov kev txom nyem). Yog li, nws yog ib qho tsim nyog yuav tsum tau soj ntsuam kom sai ntawm tus miv thiab npaj rau kev xa khoom ntawm kev kuaj ntshav. Nws yog ib qho tseem ceeb kom muaj sijhawm los tshem tawm txoj kev kho yog tias muaj teeb meem kev txhim kho. Siv los ntawm:

   • chlorambucil hauv kev txhaj tshuaj ntawm 0.1-0.2 mg / kg (2–4 mg / m2 ntawm lub cev sab hauv) txhua hnub lossis txhua lwm hnub, cov tsos mob ntawm lub plab zom mov kev puas tsuaj - tsis nco qab, ntuav, raws plab - tshwm sim tsawg dua thaum tswj hwm txhua lwm hnub, thiab kev nyuaj siab hematopoiesis kis tom qab cov tshuaj txiav tawm (chav kawm yog 1-2 lub hlis, tom qab ntawd qhov koob tshuaj yuav txo kom txog thaum cov tshuaj txiav tawm);
   • cyclosporine ntawm koob tshuaj 2.5 mg / kg / hnub - thaum cov lus teb rau txoj kev kho tau tiav, qhov koob tshuaj tau maj mam txo kom txog thaum nws tso tseg tag nrho.

Thaum kho eosinophilic granulomas, kws kho tsiaj sau tshuaj prednisolone ntsiav tshuaj lossis hno

Kev xaiv ntawm lub corticosteroid yuav tsum yog nyob ntawm nws cov hauj lwm zoo hauv cov miv tshwj xeeb. Thaum kho cov tsiaj nrog tshuaj ntawm pab pawg no, nws raug nquahu kom tswj cov ntshav kuaj, nrog rau cov ntshav txhaws, txhua 2 asthiv.

Cov lus: cov nqi ntawm ntau hom corticosteroids

Ib cov tshuaj	Prednisolone 5 mg No. 100 (Gedeon Richter)	Methylprednisolone 4 mg No. 30 (Metipred, Orion)	Dexamethasone 0.5 mg No. 10 (KRKA)	Triamcinolone 4 mg No. 50 (Polcortolone, Polfa)
Nqe hauv ib lub tsev muag tshuaj, rubles	108	201	45	356
Tus nqi ntawm kev kho mob rau ib hnub ntawm ib tug miv uas hnyav 5 kg hauv kev kho tshuaj, rubles	2.16	13.4	13,5	mus txog 14.24

Cov tshuaj pheej yig tshaj plaws yog Prednisolone. Nws qhov kom zoo dua yog qhov pom ntawm ib koob tshuaj 1 mg, txij li txij nkawm ntau npaum li hauv qab tshuaj kho qhov tsis zoo. Thaum sib piv cov nqi ntawm cov tshuaj tiv thaiv ntev ntev corticosteroids, tus nqi ntawm koob tshuaj nyob rau hauv millilitres lossis ampoules tau noj. Cov ntsiab lus ntawm ampoule tom qab hu rau qhov xav tau ntawm cov tshuaj tsis raug khaws cia.

Cov lus: cov nqi ntawm cov tshuaj tiv thaiv corticosteroids

Ib cov tshuaj	Dexafort 50 ml	Depo-Medrol 1 ml No. 1	Kenalog 1 ml No. 5
Nqe hauv ib lub tsev muag tshuaj, rubles	1073	77,5	450
Koob tshuaj los yog ampoule nqe, rubles	15.022	77,5	90

Tshuaj tua kab mob

Yog tias muaj kab mob ntawm daim tawv nqaij ua rau pom muaj tus mob eosinophilic granulomas, uas ua kom yooj yim ua kom khaus tom qab ntawd los ntawm khawb, nrog rau mob rau hauv mob ntev, yuav tsum kho cov tshuaj tua kab mob. Siv tshuaj tua kab mob sab nrauv:

• amoxicillin + clavulanate - 12.5-25 mg / kg po txhua 12 teev;
• cephalexin - 25 mg / kg po txhua 12 teev;
• enrofloxacin - 5-10 mg / kg po txhua 12 teev;
• lwm yam tshuaj.

Hauv cov mob ntev, kev ua rau lub siab tsis kam tiv thaiv cov tshuaj tua kab mob, nrog rau kev nthuav dav ntawm cov ntoo tshwj xeeb, cov khoom xa mus rau kev tshawb fawb microbiological (cais cov kab mob thiab kab mob fungal thiab kev sim tshuaj tua kab mob).

Mob voos yuav tsum tau kho nrog cov tshuaj tua kab mob xws li Cephalexin

Kev kho hauv zos

Nws yog qhov tseem ceeb thib ob. Nws muaj nyob rau hauv kev thov siv tshuaj tua kab mob rau cov tawv nqaij tawv nqaij (Miramistin, Povidone-iodine, Chlorhexidine aqueous tov), nrog rau cov tshuaj pleev uas muaj corticosteroids. Yog tias tsis muaj cov tshuaj tua kab mob hauv nruab nrog cev, tsuas yog ua kom tsuas yog tshem tawm los ntawm kev raug rau hauv zos.

Cov tshuaj kho mob hauv pej xeem tau siv hauv kev kho ntawm eosinophilic granulomas

Nws yog txwv tsis pub siv txhua txoj kev, suav nrog kev suav daws, tsis pom zoo nrog tus kws kho tsiaj. Ib qho ntxiv kev tsis haum rau ntawm lub miv lub cev, uas yog twb nyob hauv lub xeev ntawm pathological kev tiv thaiv kab mob ntau dhau los, yog qhov tsis lees txais. Hauv qhov xwm txheej zoo tshaj plaws, tsis muaj dab tsi tshwm sim, nyob rau qhov xwm txheej tsis zoo tshaj plaws, lub cev tsis muaj zog yuav nthuav dav ntxiv, piv txwv li, mob qog nqaij hlav hauv lub ntiaj teb yuav koom nrog qhov mob tsis tseem ceeb. Qhov no yuav ua rau hnyav zuj zus ntxiv tus miv tus mob, cov nyom kev kho mob thiab cuam tshuam qhov tshwm sim ntawm tus kabmob.

Cov cai hais txog kev saib xyuas cov tsiaj muaj mob

Qhov loj tshaj plaws hauv kev tu cev yog kev ntseeg siab tiv thaiv tus miv ntawm kev ua ntawm yam uas ua rau lub cev tiv thaiv kab mob. Nws yog ib qho tseem ceeb kom ua tib zoo ua raws li kev noj tshuaj (corticosteroids raug muab nyob rau tib lub sijhawm), tswj kev ntsuam xyuas thiab mus ntsib kws kho tsiaj. Thiab, ua cov hauv qab no:

• hloov cov khib nyiab hauv miv lub tais nrog ib qho hypoallergenic ib qho, nrog rau nws cov tais diav thiab txaj;
• tiv thaiv tus miv kom tsis txhob raug mob rau tus kheej, pub nws kom raug, ua kom lub chav thiab tus miv nws tus kheej huv;
• kho cov miv los ntawm dev mub, zuam, cua nab;
• txwv tsis pub tus miv txoj kev ywj pheej ntawm kev taug kev yog tias nws taug kev nws tus kheej - qhov no yuav tiv thaiv tus miv los ntawm kev noj zaub mov uas pom, rov kis nrog dev mub, cua nab thiab zuam, nrog rau kev cuam tshuam kev noj tshuaj ntxiv;
• saib tus miv, khaws lub chaw cim cia, thaij duab;
• kho cov mob txhab tawv nqaij nrog tshuaj pleev lossis tshuaj tua kab mob.

Thaum tu ib tus miv nrog eosinophilic granuloma, kev kho yog nqa tawm rau helminths, dev mub, zuam

Kev noj haus

Khoom noj khoom haus yog qhov tseem ceeb, vim tias thaum muaj cov granuloma los ntawm kev phiv zaub mov, kev noj haus yog qhov tseem ceeb raws li kev kho mob etiotropic thiab nws txoj kev saib xyuas muab kev kho rau tus miv. Hauv qhov no, nws yog qhov zoo dua los siv hypoallergenic cov zaub mov ntawm cov tsiaj veterinary los ntawm cov tuam txhab ntseeg: Royal Canin, Hills thiab lwm yam. Yog tias miv yog ib txwm tau pub rau, tom qab ntawd nws yuav tsum tau txais zaub mov uas nws tsis tau txais ua ntej. Piv txwv, thawj lub lim tiam yog nqaij luav, thib ob yog elk, qhov thib peb yog qaib ntxhw, thiab lub plaub yog menyuam yaj. Txhua lub sijhawm no tus miv yuav tsum saib xyuas. Txwv cov rog hauv cov zaub mov ntawm cov miv yog qhov tseem ceeb, vim tias pancreatitis yooj yim tshwm sim thaum kho nrog corticosteroids. Nyob rau hauv tsis muaj qhov xwm txheej koj yuav tsum tau kho tus miv ntawm lub rooj. Cov miv uas mob ntev yuav ua rau lub cev hnyav txaus: lawv cov zaub mov yuav tsum muaj protein txaus - nqaij, ntses, nqaij qaib, muaj tsev cheese tsawg.

Cov yam ntxwv ntawm kev kho mob ntawm tus poj niam cev xeeb tub thiab kittens

Noj corticosteroids, cytostatics thiab tshuaj tua kab mob yog tsis sib xws nrog cev xeeb tub thiab pub niam mis. Qhov daws yog yog kho tus tsiaj mob. Yog tias tus miv twb xeeb tub lawm, koj yuav tsum tau kuaj nrog tus kws kho tsiaj yog nws muaj peev xwm ncua txoj kev kho kom txog thaum yug menyuam. Tom ntej no, koj yuav tsum tau nrog qhov teeb meem ntawm kev pub niam mis kittens. Ntawm no, tus kws kho mob yuav ntsuas tus miv cov kev noj qab haus huv thiab cov kev pheej hmoo ntawm kev pib kho tom qab thiab tuaj yeem tso cai pub mis. Txwv tsis pub, cov kittens yuav tsum tau pub mis lossis los ntawm kev pab ntawm lwm tus miv lactating. Tus miv cev xeeb tub uas muaj mob yuav tsum tau soj ntsuam los ntawm kws kho tsiaj, vim nws yog ib qho tseem ceeb kom tshem tawm cov txiaj ntsig ntawm kev ua xua tau. Piv txwv, yog tias nws yog khoom noj khoom haus, ces hloov mus rau kev noj zaub mov hypoallergenic yuav hloov kho nws tus mob kom zoo. Yog lawm, tus kws kho mob yuav tsis tuaj yeem sau tshuaj feem ntau, tab sis nws yuav pom lwm txoj hauv kev los pab tus miv. Rau cov kittens, eosinophilic granulomas tsis yog li qub, vim tias rau nws txoj kev txhim kho yuav tsum muaj kev sib cuag nrog lub cev ntev. Txij thaum yau los, cov kittens nquag nkag rau kev loj hlob ntawm tus kab mob no tuaj yeem tsim kev ua xua uas tsis tuaj yeem tsis quav ntsej.

Yog tias leej niam cov miv muaj eosinophilic granulomas, cov kittens feem ntau tau pub mis

Kev Tiv Thaiv

Qhov loj tshaj plaws yog los tiv thaiv kev txhim kho ntawm kev fab tshuaj tsis haum hauv miv. Yog tias nws twb muaj lawm, yuav tsum ua txhua yam los txheeb xyuas nws qhov chaw thiab cais nws tawm ntawm tus miv, txij li eosinophilic granuloma yog qhov tshwm sim tsis tshua meej ntawm lub cev lub cev kev tiv thaiv thiab nws ib zaug pib nrog kev tawm tsam yooj yim. Nco ntsoov qhia koj tus miv rau koj tus kws kho tsiaj uas yuav sau ib hom kev kho mob kom ua kom lub cev tiv thaiv tsis muaj zog thiab txo qis kev pheej hmoo ntawm kev txhim kho eosinophilic granulomas. Kev kho tus miv los ntawm dev mub, zuam, cua nab, nrog rau kev kho mob raws sij hawm ntawm kev txhaj tshuaj fungal thiab viral yog qhov tseem ceeb. Prophylactic kev kuaj mob ntawm tus kws kho tsiaj yog qhov tseem ceeb, vim tias qee qhov kev fab tshuaj tsis haum hauv miv kuj tuaj yeem ua rau tus tswv tsis pom zoo, tab sis tus kws kho mob yuav mob siab rau lawv. Kev ua raws li cov kev cai dav dav rau kev khaws miv, ua ke nrog kev saib xyuas nws kev noj qab haus huv, twb yog ib qho kev tiv thaiv zoo.

Kev phom sij rau tib neeg thiab lwm yam tsiaj

Qhov phom sij tuaj yeem sawv cev los ntawm kev kis kab mob (cov kab mob, cov kab mob cab, kab mob pob khaus) lossis kab mob (kab mob, hu ua fungi) uas ua rau muaj kev fab tshuaj. Los ntawm nws tus kheej, eosinophilic granuloma yog tsis muaj mob thiab tsis kis rau lwm tus, vim tias nws cov tsos mob yog tus neeg pathological ntawm lub cev tiv thaiv kab mob mus rau qee yam allergen, nrog rau cov kev mob hnyav ntawm cov tshuaj tiv thaiv no. Yog tias qhov teeb meem tshwm sim yog qhov kev tawm tsam lossis kis tus kab mob, tom qab nws tshem tawm, cov tawv nqaij hauv cov miv tsis ua rau muaj kev phom sij. Ntawm qhov tod tes, ib tug miv raug kho nrog corticosteroids lossis cytostatics muaj kev quav yeeb tshuaj txo qis hauv kev tiv thaiv kab mob thiab nws raug nquahu kom txwv lub voj voog ntawm nws cov neeg nyob hauv kev txiav txim siab txhawm rau txo cov kev pheej hmoo ntawm kis mob.

Nws yog ib qho tseem ceeb kom paub txog cov cim ntawm eosinophilic granulomas hauv ib tug miv hauv lub sijhawm. Txheeb xyuas koj tus kws kho tsiaj thiab txiav txim siab txog koj tus tsiaj yuav pab koj ua qhov no. Kev tu ncua sijhawm yuav kho lub neej zoo ntawm tus tsiaj mob lossis tseem pab nws kom tshem tawm tus kabmob.