咨询描述:8个月公比熊,一个月前出现跛行,起身困难,跑跳时单脚,右腿悬吊,右腿肌肉比左腿细,是什么原因
回复总结:狗狗出现跛行的症状,考虑是股骨头以及髋关节问题引发的。治疗方面,建议给狗狗口服宠物专用广谱消炎药,同时配合服用抗炎止疼的药物以及营养关节、促进关节发育的用药。如果用药没有改善,建议进行手术治疗,切除股骨头。另外,狗狗发病期需要静养,不能剧烈运动或者长期运动,包括上下楼梯。
问题大致一样,细节不同?
这是狗狗两次拍片,时间间隔一个月
为保护用户隐私不显示图片/视频
陈奕达
执业兽医师
根据您讲到的狗狗坡脚,以及上传x光片来看,狗狗是有会股骨头,髋关节问题,引发了坡脚症状。然后我还有几个问题需要向您核实一下:
1. 狗狗发病之前,是否有剧烈运动,或者外力撞击狗狗?
2. 狗狗是否用药治疗过?
3. 狗狗吃喝玩排便状态如何?
4..狗狗的疫苗,以及驱虫情况如何?
以上这些情况您仔细回忆后详细的描述给我,对我给宝贝目前情况做判断以及制定治疗方案有非常大的帮助,感谢您的配合。另外,把您家爱宠具体的『年龄、体重』提供一下,待会儿咱们沟通后如果涉及用药建议,方便为宝贝开具处方。
为保护用户隐私不显示图片/视频
陈奕达
执业兽医师
补充一下,狗狗的右腿之所以感觉比较细一些,是由于腿部肌肉长期不运动,行走吃力,出现了肌肉萎缩的问题。
狗狗运动量一直很大,喜欢跑跳,每周末出去玩基本要走下午,一个月前出现跛行时,去医院检查骨科没得问题,建议补钙,打了7天消炎止痛针,用药期间活动量有所增加,停药后又不喜欢活动了。前一周又服用了抗炎药,期间活动量增加,但还是跛行,昨天复查照的片,股骨头就出现问题了。狗狗近一周食欲不佳,排便正常。精神状态还好。疫苗接种完了,每月都驱虫。发病这一个月我们也没有减少它的活动量,家里住6楼,没电梯,狗狗都是自己上下楼梯
陈奕达
执业兽医师
1.狗狗的发病期,是需要静养的。不能剧烈运动,或者是长期运动。包括上下楼梯。2.然后以狗狗现在的(近期内)的x光结果来看,狗狗的股骨头以及髋关节的问题出现了进一步发展的情况。所以只有两个选择,一,继续保守治疗,给予狗狗使用宠物专用广谱消炎,抗炎,营养关节,促进关节发育用药再观察一个月的时间,然后再次复查看是否疾病改善。如果没有改善,那么就需要考虑进行手术治疗,切除股骨头。二,现在直接手术,切除股骨头。
现在狗狗股骨头是什么病变,病因是什么,先天遗传还是后天发育不好,或者是受伤没有得到及时正确的治疗造成的
陈奕达
执业兽医师
您好,1.从现在的x光片来看,结合狗狗的年龄判断,狗狗是有关节发育不良,股骨头出现坏死征兆的问题。2.是否有遗传性,需要追溯到狗狗父母以及祖父辈的血统基因,是否有发病的情况。单纯根据狗狗现在信息,无法判断。3.如果狗狗发病之前没有出现外力撞击,打架等因素应该不是受伤的问题。4.而有关是否正确治疗,发病之后还是让狗狗运动,上下楼梯,这个是不对的。
狗狗现在的情况严重不,吃药保守治疗恢复的希望大不大
陈奕达
执业兽医师
您好,狗狗现在的情况还是比较严重的。保守治疗以个人十多年的临床经验判断分析,只有40%概率能恢复正常。
陈奕达
执业兽医师
好的。您可以告诉我狗狗的体重信息,然后我可以帮您开具一些适合狗狗的用药,并且帮您计算好用法用量,供您采纳。
手术后狗狗能恢复正常吗,有没得后遗症,有没有可能复发呢
陈奕达
执业兽医师
您好,手术之后可以恢复正常行走,但是跑跳还是稍微差一些。然后可能会出现坡脚的后遗症问题。复发一般是不会的。
陈奕达
执业兽医师
根据狗狗的情况,我给宝贝开个处方。
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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