相変わらずバタバタの日々です😓
Wow, it’s already the cherry blossom season, and I’m as busy as usual. 😓
今回のご報告は
＊トーマス
＊ハナ
＊ハチ
＊慎之介
＊チビーズ Lくん
＊新入り君
＊オレオ
This round I’m reporting on:
*Thomas
*Hana
*Hachi
*Shinnnosuke
*Baby L
*Our new boy
*Oreo＊トーマス 3月23日、旅立ちました
体重減少と食欲不振で受診。血液検査の結果、腎臓の数値が上がっていることがわかり1日おきの補液をしていましたが、23日の朝 体温の変化を感じ受診。そのまま入院となりました。帰宅後すぐに急変の連絡を受けて病院に戻りましたがすでに息を引き取った後でした。入院時の血液検査では腎臓の数値は悪いものの急変するような値ではなく、神経症状が出ていたことからおそらく脳だろうと。何らかの理由で呼吸抑制が起きたのではないかとのことでした。発作を起こしたり苦しんだりした様子はなかったということがせめてもの救いです。
*Thomas passed away on March 23.
I took him in to be examined because he lost weight and his
appetite. A blood test showed that his kidney reading had gone up, and I
started doing a fluid replacement every other day. On the morning of the 23rd,
I felt a change in his body temperature and took him in again, where he was
hospitalized. As soon as I got home I got an emergency call to immediately
return back to the vet, but by the time I got there, he had already passed on.
Even though his kidney reading was bad when they took his blood test upon his
hospitalization, it wasn’t something that would incur such a dramatic change
like this. Rather, he had some neurological symptoms that possibly suggested a
brain malfunction. For some reason, something caused what we think is a
respiratory depression. At least he didn’t have seizures and likely didn’t
suffer.
＊ハナ 前庭疾患再発
ゴハンを食べない、体のバランスが取れない、眼振がある→すぐに病院へ
前回と同じく特発性前庭疾患と思われますが、脳腫瘍や脳梗塞の可能性もあります。とりあえず前庭疾患としての治療をして反応を見ようということになりました。
処方・・・セファドール、プレドニゾロン
バランスの悪さは残ったものの食欲、元気は戻りました。ホッと一安心😊
*Hana: a relapse in her vestibular
disease
Won’t eat, can’t keep balance, rapid involuntary eye
movement → straight to the vet.
It seems to be a spontaneous vestibular disease just like
last time, but there’s the possibility of a brain tumor or a stroke. We decided
to just treat it as a vestibular disease and see how her body reacts for the
time being.
The prescription: Cephadol and prednisolone
Although her balance is still bad, her appetite and good
mood have come back. Cue sigh of relief. 😊
＊ハチ てんかん発作
「月に1回以上発作を起こすようになったら薬を始める」と言われていたのですが2月に2回、3月上旬で既に2回発作を起こしたので薬を始めることにしました。頻繁な発作は脳へのダメージになりますからね‥‥‥
飲み始めて1ヶ月、今の所発作は起こしていません。投薬量の確認のため来週 血液検査をします。
*Hachi: epileptic seizures
I was told that we’d need to start giving him medicine if he
had more than 1 seizure per month, but in February he had 2, and by the start
of March, he already had 2, so I went ahead and started feeding him the
medicine. Frequent seizures will damage the brain, you know…
It’s been a month since he started taking the medicine, and
he hasn’t had any seizures so far. I’m taking him in to the vet next week to
check the dosage amount and to take a blood test.
＊慎之介 前庭疾患
眼振と旋回、ハナちゃんと同じ症状。同じ薬を処方されました。斜頸は残っているものの落ち着いています。食欲の低下を心配したのですが大丈夫そう。あれだけ眼振があったのに食欲が落ちなかったことは驚きです😳
*Shinnosuke: vestibular disease
Same symptoms as Hana: rapid involuntary eye movements and
walking around in circles. He was prescribed the same medicine. He still has a
bit of a case of stiff neck, but he’s calm. I was worried about him losing his
appetite, but he seems okay. I’m actually pretty surprised that he’s wanting to
eat so much given how bad his eyes movements were. 😳
＊チビーズ Lくん 3月25日、卒業しました
画数まで考慮して新しい名前を用意してくださった里親さん。ご自身もたくさんの捨てられた子猫を助けている方です。
「チビーズ L」改め「心愛（ココア）」くん。幸せになるんだよ
*Baby L went to his forever home on March 25th!
They even took the number of strokes into account when
naming him—something important when deciding names in Japan! They are also
owners of several cats they’ve saved off the streets.
Baby L is now renamed “Cocoa.” His kanji name is心愛,
which means “heart” and “love.” You’ll be a happy boy!
里親さんから届いた「心愛メール」
すっかり馴染んでのびのびとやりたい放題らしいです(^^;)
I already got a “Cocoa Mail” from his family!
He’s settled in well already and is a growing, curious boy! (^^;)
＊新入り君
トイプーの男の子、ムッシュくん。飼育放棄です。
年齢 推定６歳
体重 3キロ
膝蓋骨脱臼、変形性脊椎症
フィラリア 陽性
*Our new boy
This is Monsieur, a boy toy poodle. He was thrown away by a
breeder.
Age: about 6 years
Weight: 3 kilograms
Patellar dislocation, spinal osteophytosis
Positive for filariasis ここでちょっとフィラリアについてうんちく
Here I want to explain a bit about filaria:
フィラリア線虫には「ボルバキア」という共生細菌が寄生しているのですがこのボルバキア、宿主の生殖システムを自分の都合の良いように変化させるなかなかしたたかな奴なのです。
Among filaria (a thread-like parasitic nematode worm) is the commensal bacteria Wolbachia, which acts as a parasite. However, this type of Wolbachia affects the host's reproductive system to suit its own needs, and is a tricky bugger to get rid of.
① オス殺し
ボルバキアが感染したオスのみが死に感染したメスは生き残る。ボルバキアの子孫を残すことができないオスを殺してメスの食料を増やすことで間接的にボルバキアの繁殖に貢献していると考えられる
1) Male death
Male killing occurs when infected males die during larval development, which increases the rate of born, infected, females
② メス化（性転換）
ボルバキアが感染したオス個体がオスの遺伝子型を持ったまま、完全なメスの表現型を持つ。ボルバキアの繁殖に貢献できないオス宿主をメス化することにより効率的な繁殖を達成している。
2) Feminization (changing sexes)
Males infected with Wolbachia retain their male genotypes, but possess completely female phenotypes. Wolbachia changes the sex of males, in which it can’t reproduce, to female, which leads to more efficient reproduction.
③単為生殖
ボルバキアに感染したメスがオスを必要とせず、次世代を残す。受精により生殖を行なっている宿主を、単為生殖させることにより、宿主の生殖にオスは不要となり、ボルバキアにとって有利となる。
3) Parthenogenesis
This is the reproduction of infected females without males. It makes it host, which reproduces sexually through fertilization, have a "virgin birth" without a male, which is good for the Wolbachia.
④細胞質不和合
ボルバキアに感染したオスと非感染のメスとの交配で生まれた卵は発生しない（つまり孵らない）
4) Cytoplasmic incompatibility
This is the inability of infected males to successfully reproduce with uninfected females.
以上 wikipediaより https://ja.m.wikipedia.org/wiki/%E3%83%9C%E3%83%AB%E3%83%90%E3%82%AD%E3%82%A2
(The Japanese information is taken from the link above. The English information is a mix of translation and information taken from Wikipedia: https://en.wikipedia.org/wiki/Wolbachia)
いや〜〜コワイですねえ。オスは不要になってしまうのでしょうか？ヒトに感染することがないよう祈ります😏
Pretty scary, right? Boys become unnecessary? Here’s to the hope that humans can never get infected. 😏
フィラリア線虫からボルバキアを除去（テトラサイクリン系の抗生物質を使用）することにより、ほとんどの場合、フィラリアは死亡するか生殖不能になります。
ムッシュの場合、プレドニゾロン、ミノサイクリン、カルドメックを処方されました。
薬を飲みながら気長に駆虫しようね
The filaria will either die or become infertile in most
cases by getting rid of the Wolbachia (with tetracycline antibiotics).
Monsieur was prescribed prednisolone, minocycline, and
Cardomec. Now we need to wait patiently for the medicine to get the parasite.
＊オレオ 4月7日、旅立ちました
保護時から肝障害があり腹水もあったオレオ。腹水を抜いてサプリなどの使用で落ち着いているように見えたのですが門脈シャントができていて少しづつ、でも確実に肝臓の数値は悪くなっていました。また、犬の場合の肝炎は人と違ってウィルス性のものではないので肝臓ガンになる可能性は低いと聞いていたのですが、先月の定期健診時のエコーで肝臓に腫瘤が見つかりました。生検の結果で原発性の肝細胞がんが疑われると…。本来なら手術で摘出してしまいたいところですがオレオの場合それはできません。
先生の話では、肝細胞ガンは進行がゆっくりで、オレオの場合ガンがどうこうというよりも肝不全になっているのでそちらの方が心配だとのこと。
3月29日、発熱と黄疸が出ている気がしたことから受診。血液検査の結果アンモニア、総コレステロール、ビリルビン、GPT、GOT、ALP、GGTと総じて高くアルブミンは低値。即入院。
*Oreo passed away on April 7
Oreo had liver damage and ascites since I took him in. We
drained his ascites, and it seemed to have calmed down with some supplements.
But he got a portal vein shunt, and slowly but surely, his liver reading
started getting worse. Moreover, hepatitis is different in dogs than it is in
humans, and isn't viral. Therefore I've been told that it's unlikely that it
could lead to liver cancer, but we found a tumor in his liver during an
ultrasound last month for his routine check-up. The biopsy showed primary
hepatoma... Normally we’d do surgery and remove the tumor, but Oreo couldn’t do
that.
The vet said that the hepatoma is progressing slowly, and
the real worry is liver failure rather than how the cancer would progress.
On March 29, I sensed he got a fever and jaundice, so I took
him in for an exam. His blood test showed generally high values for ammonia,
total cholesterol, bilirubin, GPT, GOT, ALP, GGT, but low values for albumin.
He was immediately hospitalized.
4月3日、完全に良くなったわけではないけど経口での投薬が可能になったので退院させてもらいました。それに腹水も見られるのでこれ以上点滴は入れられません。正直、ここから回復して元気になることは難しいと思われました。アンモニアが上がって肝性脳症で痙攣を起こすかもしれない、腹水が溜まって呼吸が苦しくなるかもしれない。敗血症やDICも…。何かしてあげたくてももう何もしてあげられません。ならば尚更家に連れて帰りたかったのです。
On April 3, he wasn’t completely better, but he was able to
take oral medicine, so I had him discharged. On top of that, they found ascites
again and so they couldn’t use an IV anymore. In all honestly, it didn’t look
like he would be able to recover back to being the energetic boy he used to be.
When ammonia levels rise they can cause spasms through hepatic encephalopathy,
and with ascites, it can get hard to breathe. And with blood poisoning and DIC…
I wanted to do something for him, yet there was nothing I could do. Given that,
I wanted to bring him home even more.
☆DIC 播種性血管内凝固症候群
本来、出血箇所のみで生じる血液凝固反応が、全身の血管内で無秩序に起こること。全身の血管内で血栓ができるため臓器不全や出血、下血を引き起こす。
☆DIC: Disseminated Intravascular
Coagulation
This is essentially where blood clotting only occurs on
hemorrhages, and causes chaos in the blood vessels throughout the body. Since
blood clots can form anywhere in the body's vessels, it can cause organ
failure, bleeding, and bloody discharge.
処方 リーバクト、リフォロース
The prescription: Livact and Liforos
4月6日、発熱で受診。腹水を抜いてもらう。血液検査の結果、リフォロースが効いたのかアンモニアは下がっていました。でもビリルビンはさらに上がっている。白血球が少なく血小板もほとんどない。CRPが高い。敗血症…DICかな…
熱が下がればとの思いで、抗生物質を打ってもらう。
On April 6 I took him in because of a fever. They drained his ascites, and the blood test showed that the Liforos may have caused his ammonia levels to go down. However, the bilirubin levels had gotten even higher. He had few white blood cells and almost no platelets. His CRP was high. Blood poisoning...possibly DIC. I had them inject some antibiotics in hopes that his fever would go down.
帰宅後、熱も下がってきて腹水を抜いて呼吸が楽になったのかスヤスヤ眠っていました。
「良かった、少しは楽になったのかな」
After we returned home, his fever went down, and since his ascites was drained, he could breathe easily. He slept like a baby. “Thank goodness, at least he’s at ease,” I thought.
4月7日。起きた時にはもう旅立った後でした。まだ暖かい体を抱きしめて思い切り泣きました。
April 7. He was already gone by the time I woke up. I cried and cried and cried, holding his body, which was still warm.
2014年7月28日に保護してから今日までの一緒の時間をありがとう
介護をさせてくれてありがとう
最期に一緒にいてあげなくてごめんね
The prescription: Livact and Liforos
4月6日、発熱で受診。腹水を抜いてもらう。血液検査の結果、リフォロースが効いたのかアンモニアは下がっていました。でもビリルビンはさらに上がっている。白血球が少なく血小板もほとんどない。CRPが高い。敗血症…DICかな…
熱が下がればとの思いで、抗生物質を打ってもらう。
On April 6 I took him in because of a fever. They drained his ascites, and the blood test showed that the Liforos may have caused his ammonia levels to go down. However, the bilirubin levels had gotten even higher. He had few white blood cells and almost no platelets. His CRP was high. Blood poisoning...possibly DIC. I had them inject some antibiotics in hopes that his fever would go down.
帰宅後、熱も下がってきて腹水を抜いて呼吸が楽になったのかスヤスヤ眠っていました。
「良かった、少しは楽になったのかな」
After we returned home, his fever went down, and since his ascites was drained, he could breathe easily. He slept like a baby. “Thank goodness, at least he’s at ease,” I thought.
4月7日。起きた時にはもう旅立った後でした。まだ暖かい体を抱きしめて思い切り泣きました。
April 7. He was already gone by the time I woke up. I cried and cried and cried, holding his body, which was still warm.
2014年7月28日に保護してから今日までの一緒の時間をありがとう
介護をさせてくれてありがとう
最期に一緒にいてあげなくてごめんね
やっと楽になったね ゆっくりおやすみ
ぽちっと応援お願いします Every little bit helps
July 28, 2014, the day I took you in. Thank you for all the
time we were able to spend together since that day.
Thank you for letting me care for you.
I’m so sorry I couldn’t be with you at the end.
ぽちっと応援お願いします Every little bit helps