Kedilerde Alt Üriner Sistem Ürolitiyazisinin Klinik, Laboratuvar, Radyografik, Ultrasonografik Tanısı ve Cerrahi Sağaltım: Çalışma On Kedi Üzerinde Yapıldı

Year 2017, Volume: 12 Issue: 1, 14 - 21, 30.04.2017

Alkan Kamiloğlu

https://doi.org/10.17094/ataunivbd.309766

Cited By: 2

Abstract

Bu çalışmada; kliniğimize getirilen
10 kedide alt üriner sistem urolithiasis teşhisi ve sağaltımı sonuçlarının
sunulması amaçlanmıştır. Çalışmada üriner sistem şikayeti olan 10 kedi kullanıldı.
Ürolitiazis tanısı, idrar analizi, direkt ve indirekt radyografi ve
ultrasonografik bulgular ile konuldu. Sekiz olguda operatif işlem, iki olguda medikal
tedavi gerçekleştirildi. Strüvit ürolitli dört kediden ikisinde operatif
uygulama yanında kalkulolitik diyet ve enfeksiyon kontrolü ile başarıya
ulaşıldı. Kalsiyum oksalat, kalsiyum karbonat, kalsiyum fosfat ve amonyum urat
ürolitleri üretrotomi, urohydropropulsion, sistotomi, üretro- sistotomi yöntemleri
ile uzaklaştırıldı. Hayvanlar postoperatif 30. günde kontrol edilerek
ürolitlerin tekrar oluşup oluşmadığı kontrol edildi. Bu çalışmada alt üriner
sistem ürolitlerinin striuvit, kalsiyum okzalat, amonyum ürat, kalsiyum
karbonat ve kalsiyum fosfat sıklık sırasına göre olduğu saptandı. Sonuç olarak;
ürolitiazisin tanısını koymada; idrar pH’sı, kristalüri, hematüri, idrar
lökosit değerleri ve taş kimyasal analizi, direkt ve pozitif kontrast
radyografi ile ultrasonografinin birlikte değerlendirilmesi gerekmektedir. Ürolit
olgularında operatif yaklaşımın endike olduğu ve operasyon sonrası ürolit
tipine göre özel diyet ve medikal tedavinin nüksleri engellediği, kanısına
varıldı.

Keywords

Kedi, Sistotomi, Üretrotomi, Üretrolitiyazis, Ürolitiazis

Clinical, Laboratory, Radiographic, Ultrasonographic Diagnosis and Surgical Treatment of Feline Lower Urinary Tract Urolithiasis: Study Carried Out of Ten Cats

Abstract

In this study, it was aimed to present the results of diagnosis
and treatment of urinary tract urolithiasis in 10 cats brought to our clinic. Ten cats with urinary tract complaint used for the study. Urolithiasis diagnosis was made through urine analysis, direct and
indirect radiography and ultrasonographic findings. Eight cases were applied
operative procedure and two cases were administered medical treatment. Accomplishment was
gained with chalcolithic diet and infection control along with operative
procedure in two of four cats with struvite urolith. Urethrotomy, cystotomy and
urohydropropulsion were performed to remove calcium oxalate, calcium carbonate, calcium phosphate and ammonium urate
urolith. Pets were postoperatively controlled on the 30^th day in order
to check whether uroliths were reappeared. In this study, it was found that
frequency of uroliths in descending order may be sorted as struvite, calcium
oxalate, ammonium urate, calcium carbonate and calcium phosphate. Consequently for the diagnosis of urolithiasis, it is
required to evaluate urine pH, crystalluria, hematuria, urine leukocyte values
and stone analysis along with the results obtained from direct positive
contrast radiography and ultrasonography. Operative approach is indicated for
urolith cases and post-operative special diets and medical treatment according
to urolith type prevent relapse.

Keywords

Cat, Cystotomy, Urethrotomy, Urocystolithiasis, Urolithiasis

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