Saturday, July 7, 2012

Gorby's struggle against his disease -2

手術を受け、2日後の10日に家に戻って来たごるびーだったが、日に日に食欲、元気が失われていった。手術をしてもらった病院に問い合わせてみて、抗生剤は継続して飲ませ、痛み止めが胃を荒らす可能性があるので止めてみてはとアドバイスされたが、そうしたところで一週間後には全く食べなくなったために、以前に診てもらっていた獣医にまた連れてゆき、血液検査をしてもらったところ、腎臓機能がひどく落ちていて、急性腎不全ではないかと診断され、早急な入院での24時間静脈への点滴と抗生剤注射等で、腎臓機能を回復させる必要があると言われた。そうしない訳にはいかず、そのまま入院させ、5泊6日に及ぶ点滴と注射の日々を送り、(数値の上で)腎臓機能が回復したので一旦家にお帰しすると言われ、ごるびーを連れてかえった。入院中の度重なる注射のせいで腕に痛々しい針の傷ができ、手術の後の入院に次ぐ入院(のせいだとその時は思った)ですっかり後ろ足の力が力を無くしていた。

それでも、これで元気になるのかと思っていたが、その日のうちに元気も食欲も無くなって行った。

After the surgery, he came back home and suture seemed fine. But gradually his appetite decreased. The pain killer may causes gastritis and I was told if he continues to vomit , I should refrain giving it and I stopped the dosage. But in one week he completely lost his appetite. I took him to the old vet and had his blood test. The test told that his kidney has worsened. He needed to be hospitalized to have intravenous for 24 hours in 5 days....
He had been in a small cage with Elizabethan collar while he was hospitalized so that when he came back home, he had difficulty in walking, seems his muscle was weakened. Moreover due to having long term intravenous, his arms were terribly swelling.

The result of the blood test shows improvement of the BUN and creatine level but from my observation, he didn't seem to regain his vitality... He drinked water but doesn't eat. No appetite. He vomited several hours after forced feeding.

Gorby 062212-1

Gorby 062212-2

Gorby 062212-3

Gorby 062312

血液検査の結果で、確かに腎臓の数値は当初の140から24.2まで下がり、クレアチニンのレベルも10.6から2.3になったけれど、白血球が10440から1500に極端におちていて、血小板の数値も47.1から26.1へ下がっていたのに、その原因は解らないと言われた。どう見ても具合が悪そう。次の日に、以前お世話になった事があった別の動物病院に電話し、これまでの経緯を話すと、納得のいく説明をしてもらえた。それは敗血症がおきている可能性があり、それによりDIC(播種性血管内凝固症候群)が起きているかもしれないとのことだった。合点がいくのでごるびーを連れて行った。血液検査はさらに悪化していた。その日にまた即入院し、点滴と抗生剤で敗血症の症状を抑え、DICの血液凝固の反応を防ぐヘパリンの注射で対処してもらった。

Anyway, the fact is that while the vet(old) just payed attention on the level of BUN and creatinine ( and he/they let Gorby home), the level of WBC (white blood cell) has dropped drastically during his stay in the vet (from 10440 to 1500). I asked him why but he couldn't answer. So next day, I called different vet and told what had happened then he told me very reasonable answer. So I took him to the new vet. He did blood exam, and he concluded that Gorby got sepsis related DIC ( disseminated intravascular coagulation). If I didn't let him hospitalized again ( in the new veterinary hospital) that day, he wouldn't have survived that night.
This was terrible, Suffer and suffer over suffer.... But as long as his condition got better, I thought there would be hope. And I wanted to give him a chance of recovery.

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