{"id":1369,"date":"2015-09-25T09:39:57","date_gmt":"2015-09-25T09:39:57","guid":{"rendered":"https:\/\/www.wanimo.com\/veterinairev2\/index.php\/2015\/09\/25\/l-insulinome-du-furet\/"},"modified":"2025-04-01T13:28:41","modified_gmt":"2025-04-01T13:28:41","slug":"l-insulinome-du-furet","status":"publish","type":"post","link":"https:\/\/conseils.wanimo.com\/veterinaire\/furet-sante-nac\/l-insulinome-du-furet.html","title":{"rendered":"L&rsquo;insulinome du furet"},"content":{"rendered":"<p>L\u2019insulinome est l\u2019une des deux affections endocriniennes les plus fr\u00e9quentes chez le furet \u00e2g\u00e9 avec<a href=\"https:\/\/www.wanimo.com\/veterinaire\/furet-sante-nac\/la-maladie-surrenalienne-du-furet.html\" rel=\"alternate\"> la maladie surr\u00e9nalienne<\/a>. Il est essentiellement rencontr\u00e9 chez les furets de plus de 4 ans. Afin de d\u00e9tecter le plus t\u00f4t possible l\u2019apparition d\u2019un insulinome, il est important de r\u00e9aliser des suivis cliniques r\u00e9guliers, tous les 6 mois.<\/p>\n<p><!--more--><\/p>\n<h2>Qu\u2019est-ce que l\u2019insulinome\u00a0?<\/h2>\n<p>L&rsquo;insulinome est une tumeur du pancr\u00e9as \u00e0 l\u2019origine d\u2019une hypers\u00e9cr\u00e9tion intermittente d&rsquo;insuline.<\/p>\n<p>Il est li\u00e9 \u00e0 un processus n\u00e9oplasique (en g\u00e9n\u00e9ral, un carcinome ou un ad\u00e9nome). Ce dernier affecte les cellules du pancr\u00e9as et induit alors une s\u00e9cr\u00e9tion d\u2019insuline en exc\u00e8s.<\/p>\n<p>A forte dose, l\u2019insuline entra\u00eene des crises d\u2019hypoglyc\u00e9mie (chute du taux de glucose) qui se manifestent par de la faiblesse (perte d\u2019\u00e9quilibre, malaise, d\u00e9marche \u00e9brieuse,\u2026), et\/ou des crises de convulsions ou de tremblements.<\/p>\n<p>Il semblerait que la teneur en glucide des aliments industriels soit un facteur favorisant l\u2019insulinome chez le furet.<\/p>\n<p>Ce type de tumeur est souvent associ\u00e9 \u00e0 une <a href=\"https:\/\/conseils.wanimo.com\/veterinaire\/furet-sante-nac\/la-maladie-surrenalienne-du-furet.html\" rel=\"alternate\">maladie surr\u00e9nalienne<\/a>.<\/p>\n<p>Le pronostic de l\u2019insulinome est assez bon.<\/p>\n<h2>Quels sont les signes cliniques d\u2019un insulinome\u00a0?<\/h2>\n<p>Les premiers signes se caract\u00e9risent par une diminution du niveau d\u2019activit\u00e9 et une augmentation du temps de repos. Ces signes passent en g\u00e9n\u00e9ral inaper\u00e7us chez un furet vieillissant.<\/p>\n<p>Les signes cliniques s\u2019aggravent ensuite progressivement.<\/p>\n<p>Le plus souvent, le furet est pr\u00e9sent\u00e9 en consultation pour une faiblesse du train post\u00e9rieur (d\u00e9marche \u00e9brieuse, perte d\u2019\u00e9quilibre) ainsi que des naus\u00e9es. On a ainsi un furet qui pr\u00e9sente une hypersalivation, se frotte la bouche avec ses pattes ou sur diff\u00e9rents supports. Le furet peut \u00e9galement pr\u00e9senter une l\u00e9thargie (faiblesse tr\u00e8s importante), ainsi que des \u00ab\u00a0absences\u00a0\u00bb.<\/p>\n<p>On peut \u00e9galement noter une diminution de l\u2019app\u00e9tit et un amaigrissement.<\/p>\n<p>Enfin, \u00e0 un stade plus avanc\u00e9, il appara\u00eet des crises de convulsions avec p\u00e9dalage des pattes et m\u00e2chonnements, voire un coma.<\/p>\n<h2>Comment diagnostiquer un insulinome\u00a0?<\/h2>\n<p>Le diagnostic de l\u2019insulinome ne peut \u00eatre confirm\u00e9 que gr\u00e2ce \u00e0 des examens compl\u00e9mentaires.<\/p>\n<ul>\n<li>Les analyses de sang d\u00e9tectent g\u00e9n\u00e9ralement une hypoglyc\u00e9mie persistante inf\u00e9rieure \u00e0 0,7 g\/l.<\/li>\n<\/ul>\n<p>Si le furet pr\u00e9sente des sympt\u00f4mes d\u2019insulinome et a malgr\u00e9 tout une glyc\u00e9mie dans les valeurs usuelles, il peut \u00eatre utile de l\u2019hospitaliser pour r\u00e9aliser une courbe de glyc\u00e9mie. En effet, la s\u00e9cr\u00e9tion d\u2019insuline \u00e9tant intermittente, il est possible d\u2019avoir une glyc\u00e9mie temporairement normale chez un furet ayant un insulinome.<\/p>\n<ul>\n<li>Il est \u00e9galement possible d\u2019effectuer une mesure de l\u2019insulin\u00e9mie, mais elle ne sera pas syst\u00e9matiquement augment\u00e9e.<\/li>\n<li>Un bilan d\u2019extension (\u00e9chographie\/radiographie) est recommand\u00e9 pour rechercher d\u2019\u00e9ventuelles m\u00e9tastases qui peuvent se d\u00e9velopper sur le foie, la rate, dans les n\u0153uds lymphatiques\u2026<\/li>\n<\/ul>\n<ul>\n<li>Des examens sanguins plus approfondis (num\u00e9ration formule sanguine et bilan biochimique) sont \u00e9galement n\u00e9cessaires pour rechercher des maladies intercurrentes. On observe g\u00e9n\u00e9ralement une augmentation des transaminases, cons\u00e9cutive \u00e0 la lipidose h\u00e9patique provoqu\u00e9e par l\u2019hypoglyc\u00e9mie chronique, ou \u00e0 la pr\u00e9sence de m\u00e9tastases h\u00e9patiques.<\/li>\n<\/ul>\n<ul>\n<li>L\u2019analyse histologique de pr\u00e9l\u00e8vements du pancr\u00e9as permet de confirmer le diagnostic d\u2019insulinome.<\/li>\n<\/ul>\n<h2>Comment traiter un insulinome\u00a0chez un furet ?<\/h2>\n<p>Le traitement de l\u2019insulinome est \u00e0 la fois m\u00e9dical et chirurgical.<\/p>\n<h3>Traitement m\u00e9dical<\/h3>\n<p>Le traitement m\u00e9dical repose tout d\u2019abord sur l\u2019utilisation de mol\u00e9cules hyperglyc\u00e9miantes.<\/p>\n<p>Ce traitement m\u00e9dical est int\u00e9ressant chez les furets \u00e2g\u00e9s ou ayant d\u2019autres maladies graves contre-indiquant la chirurgie. Des contr\u00f4les r\u00e9guliers sont alors r\u00e9alis\u00e9s pour adapter le traitement du furet.<\/p>\n<p>En plus de ce traitement, il est n\u00e9cessaire d\u2019adapter l\u2019alimentation du furet. Il faut augmenter la fr\u00e9quence des repas, en r\u00e9partissant la ration journali\u00e8re en plusieurs petits repas au cours de la journ\u00e9e. La conversion vers un aliment humide (plus pauvre en amidon) ou vers une ration m\u00e9nag\u00e8re adapt\u00e9e permet de contr\u00f4ler au mieux les apports en glucide. Si cela est impossible, il peut \u00eatre propos\u00e9 au furet des croquettes d\u2019excellente qualit\u00e9, pauvres en amidon (inf\u00e9rieur \u00e0 15% en mati\u00e8re s\u00e8che).<\/p>\n<p>Si votre furet refuse de s\u2019alimenter, il est important de lui donner, le temps qu\u2019il retrouve l\u2019app\u00e9tit, un aliment nourrissant et app\u00e9tant, que votre v\u00e9t\u00e9rinaire pourra vous prescrire (<a href=\"https:\/\/www.wanimo.com\/products\/hills-prescription-diet-a-d-restorative-care-en-boites-au-poulet-patee-pour-chien-et-chat\" rel=\"alternate\">a\/d de Hill\u2019s<\/a> ou <a href=\"https:\/\/www.wanimo.com\/collections\/alimentation-rongeurs\" rel=\"alternate\">Fortol<\/a>).<\/p>\n<p>Il est n\u00e9cessaire de supprimer toutes les friandises sucr\u00e9es (de m\u00eame que les fruits), qui entra\u00eenent un cercle vicieux aggravant l\u2019hypoglyc\u00e9mie.<\/p>\n<p>Lors d&rsquo;une crise importante d\u2019hypoglyc\u00e9mie, du<a href=\"https:\/\/www.wanimo.com\/products\/nutri-plus-gel\" rel=\"alternate\"> Nutriplus Gel<\/a>, du miel, ou du sirop d\u2019\u00e9rable sur les gencives peuvent soulager temporairement le furet. Mais attention s\u2019il mange, il faut lui proposer imm\u00e9diatement un aliment riche en prot\u00e9ines et en graisses animales comme le\u00a0<a href=\"https:\/\/www.wanimo.com\/collections\/alimentation-rongeurs\" rel=\"alternate\">Oxbow Carnivore Care<\/a> ou une ration m\u00e9nag\u00e8re, pour contr\u00f4ler le risque d\u2019hypoglyc\u00e9mie rebond.<\/p>\n<h3>Traitement chirurgical<\/h3>\n<p>Le traitement chirurgical associ\u00e9 au traitement m\u00e9dical offre un meilleur pronostic au long terme.<\/p>\n<p>La r\u00e9section chirurgicale, m\u00eame si les r\u00e9cidives restent fr\u00e9quentes, est le traitement de choix de l\u2019insulinome chez le furet, car elle permet de longues p\u00e9riodes de r\u00e9mission.<\/p>\n<p>Lors de la chirurgie, tous les organes sont inspect\u00e9s, la masse est retir\u00e9e ainsi qu\u2019une partie du pancr\u00e9as (nodulectomie avec pancr\u00e9atectomie partielle).<\/p>\n<p>La chirurgie n\u2019est pas curative car la tumeur est tr\u00e8s diffuse dans le pancr\u00e9as. Ainsi, 50% des furets op\u00e9r\u00e9s pr\u00e9senteront toujours une hypoglyc\u00e9mie dans les mois suivant l\u2019intervention, mais avec un \u00e9tat clinique satisfaisant.<\/p>\n<p>Le d\u00e9lai de r\u00e9apparition d\u2019une hypoglyc\u00e9mie est de 0 \u00e0 24 mois.<\/p>\n<p>L\u2019intervention chirurgicale permet un meilleur contr\u00f4le de l\u2019\u00e9volution de la maladie, et am\u00e9liore la tol\u00e9rance au traitement m\u00e9dical, puisque les doses \u00e0 utiliser seront moindres.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>L\u2019insulinome est l\u2019une des deux affections endocriniennes les plus fr\u00e9quentes chez le furet \u00e2g\u00e9 avec la maladie surr\u00e9nalienne. Il est essentiellement rencontr\u00e9 chez les furets de plus de 4 ans. Afin de d\u00e9tecter le plus t\u00f4t possible l\u2019apparition d\u2019un insulinome, il est important de r\u00e9aliser des suivis cliniques r\u00e9guliers, tous les 6 mois.<\/p>\n","protected":false},"author":1,"featured_media":4248,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[125],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v17.7.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>L&#039;insulinome du furet - WanimoV\u00e9to<\/title>\n<meta name=\"description\" content=\"L\u2019insulinome est l\u2019une des deux affections endocriniennes les plus fr\u00e9quentes chez le furet \u00e2g\u00e9 avec la maladie surr\u00e9nalienne. 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