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

Öz

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.

Anahtar Kelimeler

• 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

Kaynakça

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