回复总结:猫咪出现后腿无力并且随地大小便,考虑椎体受伤的可能性较大。建议最好先带猫咪去宠物医院拍X光检查,如果X光检查没有发现异常,可能还需要做进一步检测,例如CT断层扫描可能会更准确的判断。如果不方便带猫咪做进一步检测,建议先着重于恢复猫咪腰椎神经的治疗,比较有限的方法还是需要带到宠物医院接受针灸和穴位药物刺激疗法。
问题大致一样,细节不同?
赵梓焱
执业兽医师
您好,感谢您使用蘑菇宠医,问诊前建议可以把您家爱宠的信息(具体年龄,性别,是否绝育,体重)补充完整以便我能更加了解您的爱宠情况,然后尽可能详细的描述下您家爱宠近期的异常,主要从精神是否良好,食欲是否正常,大小便是否正常,近期出现哪些异常,发生的时间及持续的时间,如有线下诊疗过的最好可以上传检查报告和治疗方案,无检查的可以上传视频或爱宠患病部位的照片。感谢您的配合
猫咪五个月了,有一次从猫爬架上摔下来之后过了两三天睡觉起来发现后腿无力,去医院拍了片说脊柱什么的都没有问题,开了**和维生素药,吃了也没见好,现在看来越来越严重了,而且猫咪现在开始不在猫砂盆里大小便,小便像尿失禁一样,自己控制不住
为保护用户隐私不显示图片/视频
赵梓焱
执业兽医师
您好,根据您所提供的以上信息和视频,就我个人临床经验来看,初步诊断为腰椎损伤,方便的话可以把X光片上传一下么?
目前情况,椎体受伤的可能性是很大的,建议如果X光下没有发现异常,可能需要进一步检测例如CT,断层扫描可能会更准确的判断,如果目前不方便进一步检测的话,根据个人经验还是建议着重于恢复腰椎神经治疗,比较有限的方法还是需要带到医院接受针灸和穴位药物刺激疗法。如果不方便的话,下面我会给宝贝提供一份口服药物的治疗方案。您可以参考一下。
赵梓焱
执业兽医师
您好,您需要用到的部分药品是处方药,请先给我宝贝信息(年龄、体重、性别),可免费获得处方建议。如果您家中已有部分药品请告诉我,以免我重复开具。处方开出后,你可以自主选择购药。
光片大夫拍完了没有给我,进一步具体需要做哪几项检查呢?还有现在猫咪的情况是不是很严重了?他这个腿跟他现在尿失禁有关联吗?请大夫先帮我开一下处方药
赵梓焱
执业兽医师
现在最主要的就是CT检查,视频情况来看比较严重,排尿失禁跟椎体损伤是有直接关系的。提供我一下宠物的基本信息我给您来一下处方
椎体损伤是由外伤引起的吗?如果治好了的话,他还能正常的在猫砂盆里大小便吗?
赵梓焱
执业兽医师
根据宝贝的情况,我给它开个处方。处方里面的
1,***,主要作用是抗炎,止疼,可以缓解局部炎症反应,有效缓解疼痛
2,***,其主要作用是修复损伤的关节软骨。
3,****溶液,多种维生素,可以起到营养神经的作用,帮助运动系统的恢复
下面是根据目前我的诊断并且按照你资料里提供的体重给宝贝开的药物您可以参考一下。
赵梓焱
执业兽医师
根据您的描述,很有可能是之前在猫爬架摔下来导致的,当时没有出现问题,而是几天后出现的问题,其主要原因可能因为当时损伤部位没有直接压迫神经,而是几天后局部出现炎症反应才导致的出现压迫进而影响走路和排尿。如果恢复效果理想嗯话自主排尿上猫砂盆是没有问题的。
但是鉴于咱们家宝贝情况比较严重,还是建议带去医院做系统治疗,以针灸和穴位注射营养神经药物为主
赵梓焱
执业兽医师
目前我给您的方案的话。大概一周左右会有所改变,但是具体恢情况目前不太好评估。
尽量减少剧烈运动,适当的用手按摩脊柱两侧肌肉,自己在家可以用理疗仪做腰椎部位考电
医生建议及处方根据当前病情给出,仅适用于本次问诊
蘑菇宠医处方笺
用法用量需根据患宠的年龄、体重等信息开具,此处方暂不展示
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