Heartworm disease (HWD) nyob rau hauv miv yog tshwm sim los ntawm tib parasite lub luag hauj lwm rau tus mob nyob rau hauv dev, Dirofilaria immitis. Txawm li cas los xij, muaj ntau qhov sib txawv tseem ceeb ntawm miv thiab dev nrog HWD.
Miv suav hais tias yog tus tswv tsev atypical rau cov kab mob no thiab muaj peev xwm tiv taus kab mob plawv. Yog li ntawd, tus kab mob feem ntau qis dua qhov pom ntawm cov dev hauv cov kab mob plawv, tab sis tus kab mob no feem ntau hnyav dua rau cov miv.
Ib qho piv txwv ntawm qhov kev mob hnyav ntxiv no yog kab mob ua pa ntawm lub plawv (HARD). Qhov no tshwm sim los ntawm pulmonary (los yog lub ntsws cov ntaub so ntswg) thiab pulmonary vasculature pathology, txawm hais tias tus kab mob yeej tsis matures (piv txwv li, tsis muaj cov kab mob loj hlob tuaj).
Cov tsos mob tshwm sim nrog HARD suav nrog hnoos, hawb pob, thiab ua tsis taus pa (ua pa nyuaj). Lwm qhov tshwj xeeb ntawm HWD nyob rau hauv miv yog qhov txawv txav larvae migration tshwm ntau dua li cov dev nrog HWD.
Yog li, koj yuav ua li cas-lossis tsis ua-rau miv nrog HWD? Nyeem rau kom paub:
- 8 Do's of Treating Heartworm in Cats
- 3 Tsis Txhob Kho Mob Hlwb Hauv Miv
8 Txoj Kev Kho Mob Ntshav Qab Zib Hauv Miv
1. Heartworm Prophylaxis/Kev Tiv Thaiv
Kev siv cov kab mob plawv hauv cov miv tau ua rau muaj kev sib cav ntau xyoo dhau los, vim tias miv yog tus tswv tsev atypical thiab qhov tshwm sim ntawm cov kab mob hauv felines tsawg. Txawm li cas los xij, nws tau lees paub tias cov miv nyob hauv cov cheeb tsam uas muaj kab mob plawv yuav tsum tau muab kev tiv thaiv kab mob plawv.
Yog tias koj tsis paub meej tias koj nyob hauv thaj chaw muaj kab mob plawv, thov nrog koj tus kws kho tsiaj hauv zos tham. Muaj ntau yam kev tiv thaiv, nyob ntawm qhov chaw nyob. Hauv Tebchaws Meskas, muaj tsib txoj kev xaiv rau kev tiv thaiv kab mob plawv: eprinomectin/fipronil/praziquantel, imidacloprid-moxidectin, ivermectin, milbemycin-oxime, thiab selamectin.
2. Kev kho mob Bronchodilator
Hauv paus ntsiab lus, kev siv cov tshuaj bronchodilators ua rau muaj kev nkag siab zoo hauv kev tswj hwm feline HWD. Cov tshuaj no pab tswj bronchoconstriction (tej zaum yuav muaj nrog HWD) thiab tuaj yeem txhim kho txoj haujlwm ntawm cov leeg ua pa uas twb muaj zog lawm.
Thaum cov tshuaj bronchodilators tsis tau muab tso rau hauv cov txheej txheem kho mob rau HWD hauv miv, qhov kev coj ua no zoo li hloov pauv. Ntau thiab ntau tus kws kho mob tau ncav cuag terbutaline lossis aminophylline los pab txo cov pa ua pa hauv cov miv cuam tshuam.
3. Antithrombotic Therapy
Thaum qee cov ntawv tshaj tawm txog kev kho mob antithrombotic raws li kev tsis sib haum xeeb, tshwj xeeb tshaj yog ua ke nrog corticosteroids, nws tau dhau los ua cov txheej txheem kho mob plawv.
Yav dhau los, cov tshuaj aspirin yog cov tshuaj tiv thaiv kab mob ntau tshaj plaws hauv miv; Txawm li cas los xij, txoj kev tshawb fawb tsis ntev los no tau pom tias clopidogrel (ib qho tshuaj tiv thaiv kab mob) yog qhov zoo tshaj rau cov tshuaj aspirin hais txog cov tshuaj tiv thaiv kab mob, thiab yog li ntawd, txawm tias tam sim no tsis muaj kev tshawb fawb saib nws siv rau hauv cov kab mob plawv hauv miv, clopidogrel yog qhov ntau dua. siv tshuaj tawm ntawm ob txoj kev xaiv.
4. Cov tshuaj corticosteroids
Corticosteroids pab tau thaum muaj xwm txheej ceev thiab ua ib feem ntawm cov txheej txheem kho mob ntev rau kev tswj cov pa ua pa hauv feline HWD. Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias kev siv cov tshuaj no ntev ntev hauv miv tau cuam tshuam nrog kev loj hlob ntawm ntshav qab zib mellitus (DM). Yog li, kev saib xyuas tsis tu ncua rau cov tsos mob ntawm DM (kev haus dej ntau ntxiv, tso zis, thiab qab los noj mov) yog qhov tseem ceeb.
5. Cage So
Raws li cov dev raug kev txom nyem los ntawm HWD, lub tawb so / txwv kev ua si feem ntau qhia kom txo qis kev pheej hmoo ntawm cov kab mob thromboembolic thiab nws cov teeb meem cuam tshuam.
6. Sildenafil (Case-By-Case)
Sildenafil yog siv los nthuav cov hlab ntsws pulmonary thiab, ua li ntawd, pab txo cov hlab ntshav siab, uas tuaj yeem ua haujlwm zoo hauv kev tswj cov hlab ntsws. Pulmonary hypertension tuaj yeem yog qhov ua rau lub plawv tsis ua haujlwm hauv miv nrog HWD. Yog li, hauv cov xwm txheej tshwj xeeb no, sildenafil yog qhov tseem ceeb ntxiv rau kev tswj hwm tus mob feline HWD.
7. Doxycycline
Doxycycline tuaj yeem txiav txim siab rau kev tswj hwm tus kab mob Wolbachia ib txhij. Wolbachia pipientis yog cov kab mob tseem ceeb rau Dirofilaria larval molting. Txawm li cas los xij, nws yog ib qho tseem ceeb kom paub txog qhov kev pheej hmoo ntawm esophagitis cuam tshuam nrog kev siv doxycycline hauv miv, tshwj xeeb yog cov ntsiav tshuaj daim ntawv. Yog li, nws yuav tsum tau siv ceev faj thiab raws li qhia los ntawm koj tus kws kho tsiaj hauv zos.
8. Oxygen Therapy (Emergency/Case-By-Case)
Tshwj xeeb yog qhov xwm txheej kub ntxhov nrog tus miv ua rau muaj kev nyuaj siab nrog kev ua pa, kev kho pa oxygen, los ntawm kev tso tus miv cuam tshuam rau hauv lub tawb oxygen lossis siv qhov ntswg insufflation (xws li daim npog ntsej muag), yog ib feem tseem ceeb ntawm kev tswj kev ua pa. kos npe rau miv nrog HWD thiab yuav tsum tau ua nyob rau hauv ib txoj kev uas yog qhov tsawg tshaj plaws stressful rau miv.
3 Tsis Txhob Kho Mob Lub Siab Hauv Miv
1. Adulticidal Therapy
Qhov kev pom zoo yog tias kev kho neeg laus hauv miv nrog HWD tsis pom zoo. Ntau qhov laj thawj txhawb nqa cov lus hais: muaj kev pheej hmoo tseem ceeb rau kev tsis zoo thiab kev kho mob ntsig txog kev tuag nrog kev kho neeg laus, tsis paub meej cov txiaj ntsig rau kev kho mob, thiab lees paub lub neej luv luv ntawm cov kab mob plawv hauv cov miv, tej zaum tsis lees paub qhov xav tau kev kho mob tag nrho.
2. Kev Kho Mob Microfilaricide
Cov miv feem ntau nrog HWD yog amicrofilaremic-microfilariae yog thawj-theem larvae ntawm Dirofilaria immitis uas tsim tom qab mating; Yog li, lo lus hais txog qhov tsis muaj cov larvae nyob rau hauv feem ntau ntawm cov miv cuam tshuam, tsis yog txhua tus kab mob plawv hauv cov miv laus.
" Txawm li cas los xij, nws tseem tsim nyog sau cia tias kev kho mob microfilaricide kuj tau cuam tshuam nrog kev ua pa ua pa hnyav dua hauv qee kis thiab txawm tias ua pa tsis ua haujlwm thiab tuag rau lwm tus.
Tam sim no, tsis muaj tshuaj pom zoo los ntawm FDA los tshem tawm microfilariae. Yog li, feem ntau, kev kho microfilaricide tsis pom zoo hauv miv. Feem ntau, cov txheej txheem kev kho mob suav nrog kev siv macrocyclic lactones, xws li ivermectin lossis selamectin tau hais los saum toj no, raws li kev kho mob prophylactic, tsim los ntawm lub sijhawm kuaj mob HWD hauv miv, uas ntawm cov tshuaj tiv thaiv no tuaj yeem muaj qhov tua qeeb qeeb yog tias muaj microfilariae.
3. Surgical Removal of Heartworms (piv txwv li, Worm Extraction)
Thaum yav dhau los, raws li ib kis kab mob uas 2 ntawm 5 tus miv uas raug kab mob rho tawm tau tuag, qhov kev kho mob no feem ntau tau zam. Txawm li cas los xij, nrog cov khoom siv catheter tsawg dua (piv txwv li, micro-snare / nitinol snare kits), cov txiaj ntsig zoo dua tau ua tiav hauv ob peb kis.
Txoj kev ciaj sia zoo dua tau ntseeg tias yog vim muaj qhov tsis txaus ntseeg anaphylactic teb vim txo cov kab mob cab. Txawm hais tias qhov kev nce qib no muaj txiaj ntsig qee zaum, nws yog, hmoov tsis, tseem ua tsis tau zoo nyob rau hauv feem ntau thiab tseem suav hais tias tsis yog qhov tsis zoo ntawm HWD.
Prognosis
Qhov kev cia siab yog qhov ncaj ncees rau cov miv uas tsis pom cov tsos mob ntawm HWD. Nyob rau hauv feem ntau ntawm cov kev kho mob ntawm feline HWD, qhov prognosis yog guarded, tshwj tsis yog thaum concurrent acute respiratory distress syndrome (ARDS) raug kuaj, uas yog xam tias yog grave txawm nrog kev pab txhawb nqa.
Conclusion
Nyob rau hauv cov ntsiab lus, tsis zoo li cov ntaub ntawv nrog tus kab mob canine heartworm, kev tswj cov miv nrog HWD yog lub hauv paus rau cov tsos mob thiab txhawb kev kho mob, tsis yog neeg laus txoj kev kho raws li nyob rau hauv cov dev. Cov tsos mob feem ntau muaj xws li corticosteroids, bronchodilators, antithrombotic therapy, thiab lub tawb so, nrog rau lwm cov kev kho mob uas siv los ntawm rooj plaub. Cov miv nyob hauv thaj chaw muaj kab mob plawv yuav tsum tau kho nrog cov kab mob plawv uas tsim nyog, ib yam li dev yuav tsum tau kho.
