咨询描述:症状描述:医生你好,我家狗今年19岁了,昨天晚上突然站不起来了,送去宠物医院拍了照,说是髋关节问题严重,到现在也站不起来,一直哼哼唧唧的,估计是疼,而且碰触就会叫很大声。想知道它这样是会瘫痪吗,有什么治疗方法吗。
回复总结:狗狗髋关节出现问题,并且已经有站不起来的症状,最好的治疗方式是进行手术治疗。但如果老年狗狗出现髋关节方面的问题,由于狗狗年龄偏大,术后恢复可能不会太好,而且手术风险较高,建议给狗狗口服宠物专用消炎药,抑制炎症感染,同时配合服用营养关节的药物以及抗炎止疼的用药来维持症状,避免狗狗疼痛遭罪。
问题大致一样,细节不同?
陈奕达
执业兽医师
根据您的描述以及上传的x光片,1.狗狗有严重股骨头,以及髋关节窝增生问题。这种情况说实话,最好的解决方法就是手术治疗,还会有站起来的可能。但是狗狗年龄偏大,术后恢复,以及手术风险,我们都需要考虑。2.如果不手术,那么狗狗这种情况确实有很高概率瘫痪,并且疼痛。只能给予一些营养关节,以及抗炎止疼用药,来进行维持。不让狗狗那么疼痛遭罪。
为保护用户隐私不显示图片/视频
谢谢您的耐心回复。我还想问下手术的话,有多大概率恢复?以及如果术后没有恢复站立的话,是否手术还是有效减轻了疼痛程度? 如果不手术保守治疗,现有的药物有没有那种特别有效能减轻疼痛的,因为它现在真的就是太痛了。如果保守治疗,后续如果真瘫痪了的话会不会导致其他一些疾病,大概寿命还会有多久?
陈奕达
执业兽医师
您好,1.说实话,狗狗这个年龄段,术后恢复的概率大概只有50-35%左右。2.术后即使没有回复正常行走的情况下,疼痛也可以减轻。3.特别有效没有,止疼用药也是缓解疼痛。4.瘫痪的情况下,可能会引发便秘,后续是否还会引发其它疾病,这个需要时间进行观察,现在不好预估。5.正常银狐狗狗的寿命在20年左右。而综合我们狗狗的情况,生病之后说实话,可能也就1-2年的寿命。
好的。然后我想问一下这个手术风险大概多大,还有费用大概多少呢?
陈奕达
执业兽医师
您好,手术风险如果使用百分比来显示,大概有50-65%的风险度。然后费用大概需要****-****左右,地区差异不一样,费用也会有一些差异。
好的,最后我想问下他这个疼痛是会一直疼还是时好时坏的疼?我突然想起去年他也是一个什么骨质增生疼,哼哼唧唧的,然后去了医院,吃了一周药就没疼了的。
陈奕达
执业兽医师
您好,1.疼痛的问题,个人认为是会一直疼痛,只不过痛感,时轻时重。2.x光片来看,现在的增生非常严重。
陈奕达
执业兽医师
您好,这边根据狗狗的情况,我给宝贝开个处方。供您采纳参考一下。
处方里面的
1. **,宠物专用广谱消炎,控制炎症。
2. ***,宠物专用营养关节用药,促进关节疾病恢复。
3. ***,宠物专用抗炎止疼用药,缓解关节疼痛。
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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