Felin İdiyopatik Sistitis Tedavisinde Güncel Yaklaşımlar
Yıl 2020,
, 66 - 73, 31.03.2020
Zeynep Nurselin Çolak
,
Didem Pekmezci
Öz
Evde yaşayan kedilere ait alt üriner sistem bulguları en az 80 yıldan beri veteriner literatüründe yer almaktadır. Felin İdiyopatik Sistitis (FİS) etiyolojisi bilinmeyen ve yaygın görülen bir hastalıktır. Birçok çalışmaya rağmen hastalığın patogenezi hakkında bilgilerimiz hala kısıtlı olmakla beraber var olan çok ilgi çekici ve ilginç teorilerin doğrulanmaya ihtiyacı vardır. FİS’in patogenezinde mesane, neuroendokrin sistem ve kedinin yaşadığı çevre arasında karmaşık bir ilişki bulunmaktadır. FİS teşhisi diğer Aşağı Üriner Sistem Belirtilerinin (AÜSB) dışlanması ile konulmaktadır. Hastalığın patogenezindeki yetersiz bilgilerimizin yanı sıra, etkili terapötik müdahale bilgimiz de hala prematüredir. En üst seviyedeki ve ispatlanmış çalışmalar ise FİS’li kediler için çok amaçlı terapotik üriner mama, çevresel zenginleştirme ve yaş mama ile beslemenin hastalığın yönetimini desteklediğini ortaya koymuştur. Öte yandan kronik ve tedavi edilemeyen FİS’li kedilerin Pandora sendromu yönünden ele alınmaları gerekliliği de akıldan çıkarılmamalıdır.
Kaynakça
- Aydoğan TB. (2017). İnterstisyel sistit etiyolojisinde mikrobiyolojik araştırmanın yeri. Hacettepe Üniversitesi Tıp Fakültesi Üroloji Anabilim Dalı Ankara, Uzmanlık Tezi, 11-40.
- AÜD. (2011). Diagnosis and treatment interstitial cystitis/bladder pain syndrome (2014) Erişim tarihi : 14.01. 2020. https://www.auanet.org/guidelines/interstitial-cystitis-(ic/bps)-guideline.
- Baranowski, A.P., Abrams, P. & Berger, R.E. (2008). Urogenital pain-time to accept a new approach to phenotyping and, as a consequence, management. European Urology, 53, 33-36.
- Barry, K.J. & Crowell-Davis, S.L. (1999). Gender differences in the social behavior of the neutered indoor-only domestic cat. Applied Animal Behaviour Science, 64-193.
- Brody, H. (2000). The placebo response-recent research and implications for family medicine. The Journal of family practice, 49, 649-54.
- Buffington, C.A. (2011). Idiopathic cystitis in domestic cats-beyond the lower urinary tract. Journal of Veterinary Internal Medicine, 25(4), 784-796.
- Buffington, C.A., Blaisdell, J.L. & Binns, S.P. (1996). Decreased urine glycosaminoglycan excretion in cats with interstitial cystitis. Journal of Urology, 155, 1801-1804.
- Buffington, C.A.T., Chew, D.J. & Woodworth, B.E. (1999). Feline interstitial cystitis. Journal of the American Veterinary Medical Association, 215, 682-687.
- Buffington, C.A.T., Westropp, J.L. & Chew, D.J. (2006a). A case-control study of indoor-housed cats with lower urinary tract signs. Journal of the American Veterinary Medical Association, 228, 722-725.
- Buffington, C.A.T., Westropp, J.L. & Chew, D.J. (2006b). Clinical evaluation of multimodal environmental modification (MEMO) in the management of cats with idiopathic cystitis. Journal of Feline Medicine and Surgery, 8, 261-268.
- Buffington, C.A.T., Westropp, J.L. & Chew, D.J. (2014). From FUS to Pandora syndrome: where are we, how did we get here, and where to now? Journal of Feline Medicine and Surgery, 16, 385-394.
- Chew, D.J. & Buffington, C.A.T. (2013). Pandora Syndrome: It’s More than Just the Bladder. American Association of Feline Practitioners Conference, Dallas, Texas, 26-29.
- Chew, D.J., Bartges, J.W., Adams, L.G., Kruger, J.M. & Buffington, C.T. (2009). Randomized trial of pentosan polysulfate sodium for reatment of feline interstitial (Idiopathic) cystitis, Journal of Veterinary Internal Medicine, 23.
- Clasper, M. (1990). A case of interstitial cystitis and Runner's ulcer in a domestic shorthaired cat. New Zealand veterinary journal, 38, 158-160.
- Grauer, G.F. (2013). Current thoughts on pathophysiology & treatment of feline idiopathic cystitis. Today's Veterinary Practice, 3
- Griffith, C.A., Steigerwald, E.S. & Buffington, C.A. (2000). Effects of a synthetic facial pheromone on behavior of cats. Journal of the American Veterinary Medical Association, 217, 1154-6.
- Gunn-Moore, DA. & Shenoy, CM. Oral. (2004). glucosamine and the management of feline idiopathic cystitis. Journal of Feline Medicine and Surgery, 6, 219-225.
- Hanno, P., Lin, A. & Nordling, J. (2010). Bladder pain syndrome committee of the international consultation on incontinence. Neurourology Urodynamics, 29, 191-198.
- Hanno, PM. (2008). Re-imagining interstitial cystitis. Urologic Clinics of North America, 35, 91-99.
- Humphrey, L. (2012). The bladder pain/interstitial cystitis symptom score: development, validation, and identification of a cut score. European Urology, 61(2), 271-9.
- Karagiannis, C. (2006). The impact of stress on a cat’s physical health. In Feline Behavioral Health and Welfare.
- Lulich, J., Osborne, C. & Kruger, J. (2010). What constitutes a diagnosis of feline idiopathic cystitis? Proc American College of Veterinary Internal Medicine Forum. 630-633.
- Meijlink, J.M. (2014). Interstitial cystitis and the painful bladder: a brief history of nomenclature, definitions and criteria. International Journal of Urology, 21, 4-12.
- Osbaldiston, G.W. & Taussig, R.A. (1970). Clinical report on 46 cases of feline urological syndrome. Veterinary medicine, small animal clinician, 65, 461-468.
- Osborne, C.A., Johnston, G.R. & Polzin, D.J. (1984). Redefinition of the feline urologic syndrome: Feline lower urinary tract disease with heterogeneous causes. Veterinary Clinics of North America: Small Animal Practice 14, 409-438.
- Osborne, C.A., Kruger, J.M. & Lulich, J.P. (1999). Feline urologic syndrome, feline lower urinary tract disease, feline interstitial cystitis: What’s in a name? Journal of the American Veterinary Medical Association, 214, 1470-1480.
- Panchaphanpong, J., Asawakarn. T. & Pusoonthornthum, R. (2011). Effects of oral administration of N-acetyl-d-glucosamine on plasma and urine concentrations of glycosaminoglycans in cats with idiopathic cystitis. American journal of veterinary research, 72, 843-50.
- Shir, Y., Campbell, J.N. & Raja, S.N. (2002). The correlation between dietary soy phytoestrogens and neuropathic pain behavior in rats after partial denervation. Anesthesia and Analgesia, 94, 421-426.
- Steagall, P.V., Monteiro-Steagall, B.P. & Taylor, P.M. (2014). A review of the studies using buprenorphine in cats. Journal of veterinary internal medicine / American College of Veterinary Internal Medicine, 28, 762-770.
- Stella, J.L., Lord, L.K. & Buffington, C.A.T. (2011). Sickness behaviors in response to unusual external events in healthy cats and cats with feline interstitial cystitis. Journal of the American Veterinary Medical Association, 238, 67-73.
- Turner, D.C. & Bateson, P. (2000). The domestic cat: the biology of its behaviour. 2nd edition. Cambridge: Cambridge University Press, 244.
- Wallius, B.M, & Tidholm, A.E. (2009). Use of pentosan polysulphate in cats with idiopathic, non-obstructive lower urinary tract disease: a double-blind, randomised, placebo-controlled trial. Journal of feline medicine and surgery, 11, 409-412.
- Webster-Stratton, C. & Herbert, M. (1993). What really happens in parent training. Behav Modif, 17, 407-456.
- Westropp, J.L. & Buffington, C.A.T. (2004). Feline idiopathic cystitis: current understnding of pathophisiology and management. Veterinary Clinics of North America: Small Animal Practice 34, 1043-1055.
Yıl 2020,
, 66 - 73, 31.03.2020
Zeynep Nurselin Çolak
,
Didem Pekmezci
Kaynakça
- Aydoğan TB. (2017). İnterstisyel sistit etiyolojisinde mikrobiyolojik araştırmanın yeri. Hacettepe Üniversitesi Tıp Fakültesi Üroloji Anabilim Dalı Ankara, Uzmanlık Tezi, 11-40.
- AÜD. (2011). Diagnosis and treatment interstitial cystitis/bladder pain syndrome (2014) Erişim tarihi : 14.01. 2020. https://www.auanet.org/guidelines/interstitial-cystitis-(ic/bps)-guideline.
- Baranowski, A.P., Abrams, P. & Berger, R.E. (2008). Urogenital pain-time to accept a new approach to phenotyping and, as a consequence, management. European Urology, 53, 33-36.
- Barry, K.J. & Crowell-Davis, S.L. (1999). Gender differences in the social behavior of the neutered indoor-only domestic cat. Applied Animal Behaviour Science, 64-193.
- Brody, H. (2000). The placebo response-recent research and implications for family medicine. The Journal of family practice, 49, 649-54.
- Buffington, C.A. (2011). Idiopathic cystitis in domestic cats-beyond the lower urinary tract. Journal of Veterinary Internal Medicine, 25(4), 784-796.
- Buffington, C.A., Blaisdell, J.L. & Binns, S.P. (1996). Decreased urine glycosaminoglycan excretion in cats with interstitial cystitis. Journal of Urology, 155, 1801-1804.
- Buffington, C.A.T., Chew, D.J. & Woodworth, B.E. (1999). Feline interstitial cystitis. Journal of the American Veterinary Medical Association, 215, 682-687.
- Buffington, C.A.T., Westropp, J.L. & Chew, D.J. (2006a). A case-control study of indoor-housed cats with lower urinary tract signs. Journal of the American Veterinary Medical Association, 228, 722-725.
- Buffington, C.A.T., Westropp, J.L. & Chew, D.J. (2006b). Clinical evaluation of multimodal environmental modification (MEMO) in the management of cats with idiopathic cystitis. Journal of Feline Medicine and Surgery, 8, 261-268.
- Buffington, C.A.T., Westropp, J.L. & Chew, D.J. (2014). From FUS to Pandora syndrome: where are we, how did we get here, and where to now? Journal of Feline Medicine and Surgery, 16, 385-394.
- Chew, D.J. & Buffington, C.A.T. (2013). Pandora Syndrome: It’s More than Just the Bladder. American Association of Feline Practitioners Conference, Dallas, Texas, 26-29.
- Chew, D.J., Bartges, J.W., Adams, L.G., Kruger, J.M. & Buffington, C.T. (2009). Randomized trial of pentosan polysulfate sodium for reatment of feline interstitial (Idiopathic) cystitis, Journal of Veterinary Internal Medicine, 23.
- Clasper, M. (1990). A case of interstitial cystitis and Runner's ulcer in a domestic shorthaired cat. New Zealand veterinary journal, 38, 158-160.
- Grauer, G.F. (2013). Current thoughts on pathophysiology & treatment of feline idiopathic cystitis. Today's Veterinary Practice, 3
- Griffith, C.A., Steigerwald, E.S. & Buffington, C.A. (2000). Effects of a synthetic facial pheromone on behavior of cats. Journal of the American Veterinary Medical Association, 217, 1154-6.
- Gunn-Moore, DA. & Shenoy, CM. Oral. (2004). glucosamine and the management of feline idiopathic cystitis. Journal of Feline Medicine and Surgery, 6, 219-225.
- Hanno, P., Lin, A. & Nordling, J. (2010). Bladder pain syndrome committee of the international consultation on incontinence. Neurourology Urodynamics, 29, 191-198.
- Hanno, PM. (2008). Re-imagining interstitial cystitis. Urologic Clinics of North America, 35, 91-99.
- Humphrey, L. (2012). The bladder pain/interstitial cystitis symptom score: development, validation, and identification of a cut score. European Urology, 61(2), 271-9.
- Karagiannis, C. (2006). The impact of stress on a cat’s physical health. In Feline Behavioral Health and Welfare.
- Lulich, J., Osborne, C. & Kruger, J. (2010). What constitutes a diagnosis of feline idiopathic cystitis? Proc American College of Veterinary Internal Medicine Forum. 630-633.
- Meijlink, J.M. (2014). Interstitial cystitis and the painful bladder: a brief history of nomenclature, definitions and criteria. International Journal of Urology, 21, 4-12.
- Osbaldiston, G.W. & Taussig, R.A. (1970). Clinical report on 46 cases of feline urological syndrome. Veterinary medicine, small animal clinician, 65, 461-468.
- Osborne, C.A., Johnston, G.R. & Polzin, D.J. (1984). Redefinition of the feline urologic syndrome: Feline lower urinary tract disease with heterogeneous causes. Veterinary Clinics of North America: Small Animal Practice 14, 409-438.
- Osborne, C.A., Kruger, J.M. & Lulich, J.P. (1999). Feline urologic syndrome, feline lower urinary tract disease, feline interstitial cystitis: What’s in a name? Journal of the American Veterinary Medical Association, 214, 1470-1480.
- Panchaphanpong, J., Asawakarn. T. & Pusoonthornthum, R. (2011). Effects of oral administration of N-acetyl-d-glucosamine on plasma and urine concentrations of glycosaminoglycans in cats with idiopathic cystitis. American journal of veterinary research, 72, 843-50.
- Shir, Y., Campbell, J.N. & Raja, S.N. (2002). The correlation between dietary soy phytoestrogens and neuropathic pain behavior in rats after partial denervation. Anesthesia and Analgesia, 94, 421-426.
- Steagall, P.V., Monteiro-Steagall, B.P. & Taylor, P.M. (2014). A review of the studies using buprenorphine in cats. Journal of veterinary internal medicine / American College of Veterinary Internal Medicine, 28, 762-770.
- Stella, J.L., Lord, L.K. & Buffington, C.A.T. (2011). Sickness behaviors in response to unusual external events in healthy cats and cats with feline interstitial cystitis. Journal of the American Veterinary Medical Association, 238, 67-73.
- Turner, D.C. & Bateson, P. (2000). The domestic cat: the biology of its behaviour. 2nd edition. Cambridge: Cambridge University Press, 244.
- Wallius, B.M, & Tidholm, A.E. (2009). Use of pentosan polysulphate in cats with idiopathic, non-obstructive lower urinary tract disease: a double-blind, randomised, placebo-controlled trial. Journal of feline medicine and surgery, 11, 409-412.
- Webster-Stratton, C. & Herbert, M. (1993). What really happens in parent training. Behav Modif, 17, 407-456.
- Westropp, J.L. & Buffington, C.A.T. (2004). Feline idiopathic cystitis: current understnding of pathophisiology and management. Veterinary Clinics of North America: Small Animal Practice 34, 1043-1055.