Cistitis Pri Konjih

2024 Avtor: Daisy Haig | [email protected]. Nazadnje spremenjeno: 2023-12-17 03:13

Vnetje mehurja pri konjih

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Cistitis, čeprav je pri konjih običajno redek, je vnetje v mehurju. Navzven ni pogosto očitno, da je mehur vnet, obstajajo pa tudi drugi znaki cistitisa, ki so lahko očitni. Nekateri bolj očitni znaki so prekomerno uriniranje, prekomerna drža za uriniranje, kri v urinu ali kapljanje urina brez popolnega praznjenja mehurja. Cistitis ponavadi prizadene kobile bolj kot žrebce.

Simptomi in vrste

• Povečanje pogostosti uriniranja
• Slaba proizvodnja urina
• Boleče ali neprijetno uriniranje

• Nenavadna konsistenca ali videz urina (včasih težko razlagati, saj običajni konjski urin vsebuje velike količine sluzi in usedlin):

  • Gosta, motna urina
  • Krvav urin
  • Gnoj v urinu
  • Krvni strdki v urinu
  • Delci v urinu

Vzroki

Čeprav je cistitis pogost zaradi bakterijske okužbe, bodisi zaradi okužbe sečil (UTI), ki je napredovala navzgor, okužbe ledvic, ki je napredovala navzdol, ali celo okužbe v krvi (septikemija).

V nekaterih primerih, če je prišlo do poškodbe, na primer pri poškodbi mehurja ali sečnice med kobilom, ki rodi žrebe, se lahko cistitis pojavi kot sekundarno stanje te poškodbe. Zaradi poškodbe mehurja mišice mehurja ne morejo učinkovito izprazniti urina, ki prehaja skozi njega, kar povzroči usedanje usedlin na dnu mehurja in posledično vnetje sluznice mehurja. Drugi vzroki vključujejo prisotnost kamnov v mehurju, raka v mehurju ali paralizo mehurja, ki je posledica nevrološkega stanja.

Diagnoza

Veterinarju boste morali dati temeljito zgodovino zdravja vašega konja in pojav simptomov. Zgodovina, ki jo navedete, lahko vašemu veterinarju navede, kateri organi povzročajo sekundarne simptome, ki so prav tako prizadeti. Na primer, ledvica je lahko tudi pod prisilo, bodisi kot posledica vnetja mehurja ali hkrati. Opravili bodo popolno krvno sliko skupaj z analizo urina. Povečano število belih in rdečih krvnih celic v urinu je jasen znak okužbe ali vnetja organa mehurja.

Običajno je potreben interni pregled, ki ga lahko diagnostično opravimo z endoskopijo, pri kateri se uporablja vitka cev s pritrjeno kamero, ki jo lahko vstavimo v telo. V tem primeru je endoskopsko orodje cistoskop. Ta bo vstavljen v sečnico in voden skozi sečne poti v mehur.

Prav tako bo treba opraviti analizo usedline v mehurju, zaradi česar bo treba odvzeti vzorec iz mehurja. To lahko storimo z vstavitvijo urinskega katetra. Dobljeno tekočino lahko nato gojimo in analiziramo. V nekaterih primerih bo morda treba konja pomiriti, preden bo mogoče vstaviti kateter.

Zdravljenje

Zdravljenje se razlikuje od primera do primera, ko gre za cistitis in glede na vzrok. Ker lahko stanje povzroči več stvari, je treba osnovni vzrok odpraviti, preden se cistitis lahko pozdravi. To pomeni, da če je vnetje mehurja posledica osnovne vaginalne okužbe, je treba vaginalno okužbo zdraviti, preden cistitis izgine brez ponovitve.

Ko odstranimo glavni vzrok cistitisa, lahko protibakterijska in protivnetna zdravila uporabimo za zdravljenje samega cistitisa in konju lajšanje simptomov. Nekateri konji bodo večkrat podlegli okužbam mehurja. Za te živali je lahko upravičen dolg potek antibiotikov (od štiri do šest tednov).

Življenje in upravljanje

V mnogih primerih je cistitis težava, ki se prikrade konju in lastniku. Na srečo je sorazmerno redek in ga je v večini primerov mogoče zdraviti, ko ga je konjarski veterinar pravilno diagnosticiral.