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Cystitis Di Kuda
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Keradangan Pundi kencing di Kuda

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Cystitis, walaupun biasanya tidak biasa pada kuda, adalah keradangan pada pundi kencing. Selalunya tidak kelihatan dari luar bahawa pundi kencing meradang, tetapi ada tanda-tanda cystitis lain yang mungkin kelihatan. Beberapa tanda yang lebih jelas adalah kencing berlebihan, postur berlebihan untuk membuang air kecil, darah di dalam air kencing, atau menggelecek air kencing tanpa membuang pundi kencing sepenuhnya. Cystitis cenderung mempengaruhi kuda betina lebih banyak daripada kuda jantan.

Gejala dan Jenis

  • Peningkatan kekerapan membuang air kecil
  • Pengeluaran air kencing yang lemah
  • Kencing yang menyakitkan atau tidak selesa
  • Konsistensi atau penampilan air kencing yang tidak biasa (kadang-kadang sukar ditafsirkan, kerana air kencing kuda biasa mengandungi sejumlah besar lendir dan sedimen):

    • Air kencing tebal dan keruh
    • Air kencing berdarah
    • Tekanan dalam air kencing
    • Gumpalan darah dalam air kencing
    • Zarah dalam air kencing

Punca

Walaupun jarang terjadi, sistitis biasanya disebabkan oleh infeksi bakteria, baik dari infeksi saluran kencing (UTI) yang telah berkembang ke atas, infeksi ginjal yang berkembang ke bawah, atau bahkan infeksi pada darah (septikemia).

Dalam beberapa keadaan, jika cedera telah terjadi, seperti ketika pundi kencing atau uretra rusak ketika seekor kuda betina melahirkan seekor anak kuda, sistitis dapat terjadi sebagai keadaan sekunder untuk kecederaan itu. Akibat kecederaan pada pundi kencing, otot-otot pundi kencing tidak dapat membuang air kencing yang melewatinya dengan cekap, sehingga sedimen menetap di lantai pundi kencing dan akibatnya, terjadi keradangan pada lapisan pundi kencing. Sebab-sebab lain termasuk kehadiran batu pundi kencing, barah di pundi kencing, atau kelumpuhan pundi kencing sekunder kepada keadaan neurologi.

Diagnosis

Anda perlu memberikan sejarah menyeluruh mengenai kesihatan kuda anda dan permulaan gejala kepada doktor haiwan anda. Sejarah yang anda berikan dapat memberi petunjuk kepada doktor haiwan anda mengenai organ mana yang menyebabkan gejala sekunder yang juga sedang terjejas. Ginjal, misalnya, juga mungkin mengalami tekanan, baik akibat keradangan pundi kencing, atau bersamaan. Pengiraan darah lengkap akan dilakukan, bersamaan dengan urinalisis. Peningkatan jumlah sel darah putih dan merah dalam air kencing adalah petunjuk yang jelas mengenai jangkitan atau keradangan organ pundi kencing.

Pemeriksaan dalaman biasanya diperlukan, dan ini dapat dilakukan secara diagnostik dengan endoskopi, yang menggunakan tiub langsing dengan kamera terpasang yang dapat dimasukkan ke dalam badan. Dalam kes ini, alat endoskopi adalah sistoskop. Ini akan dimasukkan ke dalam uretra dan dipandu melalui saluran kencing ke dalam pundi kencing.

Analisis sedimen dalam pundi kencing juga perlu dilakukan, yang memerlukan sampel diambil dari pundi kencing. Ini boleh dilakukan dengan memasukkan kateter kencing. Cecair yang diperoleh kemudian dapat dikultur dan dianalisis. Dalam beberapa kes, kuda perlu ditenangkan sebelum kateter dimasukkan.

Rawatan

Rawatan berbeza-beza berdasarkan kes demi kes berkaitan dengan sistitis dan mengikut penyebabnya. Oleh kerana keadaannya mungkin disebabkan oleh lebih daripada satu perkara, penyebabnya mesti diselesaikan sebelum sistitis dapat disembuhkan. Ini bermaksud bahawa jika keradangan pundi kencing disebabkan oleh jangkitan vagina yang mendasari, jangkitan faraj mesti dirawat sebelum sistitis akan hilang tanpa berulang.

Setelah penyebab utama sistitis dihilangkan, ubat antibakteria dan anti-radang dapat digunakan untuk mengobati sistitis itu sendiri dan melegakan gejala dari kuda. Sebilangan kuda akan berulang kali mengalami jangkitan kantung. Untuk haiwan ini, mungkin diperlukan jangka panjang antibiotik (selama empat hingga enam minggu)

Hidup dan Pengurusan

Dalam banyak kes, sistitis adalah masalah yang menyelubungi kuda dan pemiliknya. Nasib baik, ia agak jarang berlaku dan dalam kebanyakan kes dapat dirawat setelah didiagnosis dengan betul oleh profesional veterinar kuda.

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