{"id":10220,"date":"2022-09-12T14:12:59","date_gmt":"2022-09-12T14:12:59","guid":{"rendered":"https:\/\/www.cdr.preprod-clevermint.be\/?page_id=10220"},"modified":"2023-07-27T22:01:33","modified_gmt":"2023-07-27T22:01:33","slug":"obstruction-urinaire-chat","status":"publish","type":"page","link":"https:\/\/champduroi.be\/?page_id=10220","title":{"rendered":"L’obstruction urinaire"},"content":{"rendered":"

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L\u2019obstruction urinaire chez le chat (FUS)<\/h1>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00a0\u00bb1″ module_id=\u00a0\u00bbsymptomes\u00a0\u00bb _builder_version=\u00a0\u00bb4.16″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row column_structure=\u00a0\u00bb2_5,3_5″ _builder_version=\u00a0\u00bb4.17.6″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb hover_enabled=\u00a0\u00bb0″ global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0″][et_pb_column type=\u00a0\u00bb2_5″ _builder_version=\u00a0\u00bb4.16″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_image src=\u00a0\u00bbhttps:\/\/www.cdr.preprod-clevermint.be\/wp-content\/uploads\/2022\/09\/humain-et-chat-contact-2.jpg\u00a0\u00bb title_text=\u00a0\u00bbhumain-et-chat-contact-2″ align=\u00a0\u00bbcenter\u00a0\u00bb _builder_version=\u00a0\u00bb4.17.6″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb max_height=\u00a0\u00bb370px\u00a0\u00bb hover_enabled=\u00a0\u00bb0″ global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0″][\/et_pb_image][\/et_pb_column][et_pb_column type=\u00a0\u00bb3_5″ _builder_version=\u00a0\u00bb4.16″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.17.6″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb text_font=\u00a0\u00bb||||||||\u00a0\u00bb text_font_size=\u00a0\u00bb15px\u00a0\u00bb text_line_height=\u00a0\u00bb1.8em\u00a0\u00bb link_font=\u00a0\u00bb|700|||||||\u00a0\u00bb link_text_color=\u00a0\u00bb#ff8e8e\u00a0\u00bb header_font=\u00a0\u00bb|700|||||||\u00a0\u00bb header_text_color=\u00a0\u00bb#0166bf\u00a0\u00bb header_3_font=\u00a0\u00bbNunito|700|||||||\u00a0\u00bb header_3_text_color=\u00a0\u00bb#0166bf\u00a0\u00bb header_3_font_size=\u00a0\u00bb25px\u00a0\u00bb header_3_line_height=\u00a0\u00bb1.4em\u00a0\u00bb background_color=\u00a0\u00bb#ffffff\u00a0\u00bb max_width=\u00a0\u00bb600px\u00a0\u00bb custom_margin=\u00a0\u00bb0%||||false|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px|4px|0px|4px|true|true\u00a0\u00bb custom_padding_tablet=\u00a0\u00bb\u00a0\u00bb custom_padding_phone=\u00a0\u00bb|20px||20px||true\u00a0\u00bb custom_padding_last_edited=\u00a0\u00bbon|desktop\u00a0\u00bb hover_enabled=\u00a0\u00bb0″ text_font_size_tablet=\u00a0\u00bb\u00a0\u00bb text_font_size_phone=\u00a0\u00bb14px\u00a0\u00bb text_font_size_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb header_3_font_size_tablet=\u00a0\u00bb\u00a0\u00bb header_3_font_size_phone=\u00a0\u00bb26px\u00a0\u00bb header_3_font_size_last_edited=\u00a0\u00bbon|tablet\u00a0\u00bb border_radii_tablet=\u00a0\u00bbon|10px|10px|10px|10px\u00a0\u00bb border_radii_phone=\u00a0\u00bb\u00a0\u00bb border_radii_last_edited=\u00a0\u00bbon|desktop\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0″]<\/p>\n

Les affections de l\u2019ur\u00e8tre et de la vessie sont des pathologies fr\u00e9quentes chez le chat.
On parle de syndrome urologique f\u00e9lin<\/strong> (F.U.S pour Feline Urologic Syndrome) pour tous les chats qui ont des difficult\u00e9s \u00e0 uriner<\/strong>, qui pr\u00e9sentent une obstruction de l\u2019ur\u00e8tre ou des cystites chroniques.<\/p>\n

Les calculs sont parfois en cause, mais pas toujours. En effet, ce syndrome peut \u00eatre d\u00fb \u00e0 des bouchons muqueux ou \u00e0 du \u00ab sable \u00bb (poussi\u00e8re de cristaux) pr\u00e9sents dans l\u2019urine, \u00e0 une infection du tractus urinaire, \u00e0 des spasmes ou des strictions de l\u2019ur\u00e8tre. Leurs cons\u00e9quences peuvent \u00eatre tr\u00e8s graves voire mortelles.<\/p>\n

Par cons\u00e9quent, lorsqu\u2019un chat pr\u00e9sente une obstruction ur\u00e9trale, due ou non \u00e0 des calculs urinaires, il s\u2019agit d\u2019une situation d\u2019urgence<\/strong> pour laquelle il faut rapidement emmener l\u2019animal chez le v\u00e9t\u00e9rinaire.<\/p>\n

Les animaux de 2 \u00e0 5 ans sont plus fr\u00e9quemment touch\u00e9s par le F.U.S.<\/p>\n

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Origines<\/h1>\n

 <\/p>\n

Les chats m\u00e2les sont plus souvent concern\u00e9s<\/strong> par l\u2019obstruction urinaire du fait de l\u2019anatomie de leur ur\u00e8tre.<\/p>\n

Une alimentation<\/strong> dite de \u00ab grande surface \u00bb ou bas de gamme<\/strong> est souvent trop riche en magn\u00e9sium et\/ou phosphore, augmentant ou diminuant le PH des urines et ainsi favorisant l\u2019apparition de calculs dans la vessie. Le chat est un animal qui boit peu<\/strong> et donc pr\u00e9sente des urines qui sont tr\u00e8s concentr\u00e9e dont les s\u00e9diments sont moins fr\u00e9quemment \u00e9limin\u00e9s.
Les chats qui manquent d\u2019activit\u00e9<\/strong> semblent souffrir du F.U.S plus souvent que ceux qui font de l\u2019exercice r\u00e9guli\u00e8rement (les citadins sont plus affect\u00e9s que les chats de campagne\u2026).<\/p>\n

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Symptomes et signes d’alerte<\/strong><\/span><\/h2>\n
    \n
  • Des difficult\u00e9 \u00e0 uriner<\/strong> : lorsqu’un animal est en position mais que rien n\u2019est \u00e9mis (ou alors tr\u00e8s peu)<\/li>\n
  • De la douleur<\/strong> : l\u2019animal miaule lorsqu\u2019il tente d\u2019uriner<\/li>\n
  • Du sang dans les urines<\/strong><\/li>\n
  • Un globe v\u00e9sical<\/strong> : la vessie est grosse comme un pamplemousse dans l\u2019abdomen et tr\u00e8s dure. Au vu de la douleur, votre chat ne pr\u00e9f\u00e8rera pas qu’on lui touche l’abdomen mais ce sympt\u00f4me est significatif.<\/li>\n
  • Abattement, anorexie, hypothermie, vomissement<\/strong> : tous ces sympt\u00f4mes sont d\u00fbs \u00e0 une intoxication \u00e0 l\u2019ur\u00e9e retenue dans l’organisme.<\/li>\n
  • Le coma<\/strong>, qui signifie une souffrance extr\u00eame de l’organisme, signe qu’il faut ammener votre chat au plus vite chez un v\u00e9t\u00e9rinaire.<\/li>\n<\/ul>\n

    [\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00a0\u00bb1″ _builder_version=\u00a0\u00bb4.16″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb background_color=\u00a0\u00bb#1e73be\u00a0\u00bb custom_padding=\u00a0\u00bb40px||40px|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row column_structure=\u00a0\u00bb2_5,3_5″ _builder_version=\u00a0\u00bb4.16″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb max_width=\u00a0\u00bb1300px\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb2_5″ _builder_version=\u00a0\u00bb4.16″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.17.6″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb header_font=\u00a0\u00bb|700|||||||\u00a0\u00bb header_text_align=\u00a0\u00bbcenter\u00a0\u00bb header_text_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb header_font_size=\u00a0\u00bb49px\u00a0\u00bb custom_padding=\u00a0\u00bb11px|||||\u00a0\u00bb hover_enabled=\u00a0\u00bb0″ global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0″ custom_margin=\u00a0\u00bb5%||||false|false\u00a0\u00bb]<\/p>\n

    Diagnostic<\/h1>\n

    [\/et_pb_text][\/et_pb_column][et_pb_column type=\u00a0\u00bb3_5″ _builder_version=\u00a0\u00bb4.16″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.17.6″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb text_text_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb hover_enabled=\u00a0\u00bb0″ global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0″]<\/p>\n

    \n

    Le diagnostic se fait lors de l’examen de votre chat<\/strong> par la palpation du globe v\u00e9sical dans son abdomen.<\/p>\n<\/div>\n

    \n

    S’en suivent en g\u00e9n\u00e9ral une \u00e9chographie et\/ou une radiographie<\/strong> afin de d\u00e9terminer l’int\u00e9grit\u00e9 de la vessie dans l’abdomen.<\/p>\n<\/div>\n

    \n

    Une analyse urinaire<\/strong> permet de d\u00e9terminer le type de cristaux en cause (struvite le plus fr\u00e9quemment, oxalate dans 20% des cas, urate, phosphate, xanthine, ou cystine) et d’adapter le traitement.<\/p>\n<\/div>\n

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    Traitement<\/h1>\n

    Le traitement d\u2019urgence consiste \u00e0 \u00ab d\u00e9boucher<\/strong> \u00bb le chat, c\u2019est-\u00e0-dire \u00e0 enlever le calcul qui bloque l\u2019ur\u00e8tre.<\/strong> Le v\u00e9t\u00e9rinaire anesth\u00e9sie le chat, lorsque sa concentration sanguine en potassium (cardiotoxique) le permet, et r\u00e9alise un sondage urinaire. La sonde urinaire reste en place pendant 48h afin de vidanger la vessie et de la rincer pour \u00e9vacuer tous les calculs de petite taille pr\u00e9sents dans la vessie. Une fois la sonde retir\u00e9e, on observe si le chat urine normalement.
    Le chat est perfus\u00e9<\/strong> afin de relancer la production d\u2019urine et de lutter contre les d\u00e9sordres en ions et en eau du sang, ainsi que contre l\u2019insuffisance r\u00e9nale aigu\u00eb dus \u00e0 l\u2019obstruction.
    Un traitement m\u00e9dical<\/strong> est aussi mis en place : un acidifiant urinaire en cas de calculs de struvite, des anti-inflammatoires contre l\u2019inflammation de l\u2019ur\u00e8tre ou de la vessie, des antibiotiques en cas de surinfection bact\u00e9rienne (rare) et pour \u00e9viter les infections secondaires dues \u00e0 la sonde, des antispasmodique contre les spasmes ur\u00e9traux douloureux.
    Une alimentation sp\u00e9ciale<\/strong> est imp\u00e9rative pendant deux mois afin de dissoudre tous les calculs de struvite restant dans la vessie, l\u2019alimentation est modifi\u00e9e apr\u00e8s contr\u00f4le urinaire et\/ou \u00e9chographique. Par la suite, une alimentation adapt\u00e9e et une multiplication des points d\u2019eau sont vivement recommand\u00e9es pour diminuer le risque de r\u00e9cidive.
    Si il y a pr\u00e9sence de cristaux d\u2019oxalate, une intervention chirurgicale<\/strong> (cystotomie) est parfois n\u00e9cessaire pour retirer les calculs de la vessie. En effet les calculs d\u2019oxalate ne sont pas dissolubles avec un changement d\u2019alimentation.
    En cas de r\u00e9cidive, une ur\u00e9trostomie<\/strong> est pratiqu\u00e9e afin d\u2019enlever le p\u00e9nis et ainsi la partie \u00e9troite de l\u2019ur\u00e8tre responsable du blocage des calculs urinaires.<\/p>\n

    [\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"

    L\u2019obstruction urinaire chez le chat (FUS)Les affections de l\u2019ur\u00e8tre et de la vessie sont des pathologies fr\u00e9quentes chez le chat.On parle de syndrome urologique f\u00e9lin (F.U.S pour Feline Urologic Syndrome) pour tous les chats qui ont des difficult\u00e9s \u00e0 uriner, qui pr\u00e9sentent une obstruction de l\u2019ur\u00e8tre ou des cystites chroniques. Les calculs sont parfois en […]<\/p>\n","protected":false},"author":7,"featured_media":0,"parent":9673,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"class_list":["post-10220","page","type-page","status-publish","hentry"],"yoast_head":"\nL'obstruction urinaire du chat - Clinique V\u00e9t\u00e9rinaire Champ du Roi<\/title>\n<meta name=\"description\" content=\"L'obstruction urinaire est une pathologie fr\u00e9quente chez le chat. 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