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猫甲状腺功能亢进症:考虑治疗方式对猫及其主人生活质量的影响。

Hyperthyroidism in Cats: Considering the Impact of Treatment Modality on Quality of Life for Cats and Their Owners.

机构信息

Animal Endocrine Clinic, New York, NY, USA.

出版信息

Vet Clin North Am Small Anim Pract. 2020 Sep;50(5):1065-1084. doi: 10.1016/j.cvsm.2020.06.004. Epub 2020 Jul 11.

Abstract

In cats, hyperthyroidism can be treated in 4 ways: medical management with methimazole or carbimazole, nutritional management (low-iodine diet), surgical thyroidectomy, and radioactive iodine (I). Each form of treatment has advantages and disadvantages that should be considered when formulating a treatment plan for the individual hyperthyroid cat. Medical and nutritional managements are considered "reversible" or palliative treatments, whereas surgical thyroidectomy and I are "permanent" or curative treatments. The author discusses how each treatment modality could be the optimal choice for a specific cat-owner combination and reviews the advantages and disadvantages of each treatment option.

摘要

在猫中,甲状腺功能亢进症可以通过以下 4 种方法治疗:甲巯咪唑或卡比马唑的药物治疗、营养管理(低碘饮食)、甲状腺切除术和放射性碘(I)。每种治疗形式都有优点和缺点,在为患有甲状腺功能亢进症的个体制定治疗计划时应考虑这些因素。药物和营养管理被认为是“可逆的”或姑息性治疗,而手术甲状腺切除术和 I 是“永久性的”或根治性治疗。作者讨论了每种治疗方式如何成为特定猫主人组合的最佳选择,并回顾了每种治疗选择的优缺点。

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