咨询描述:您好 猫咪三岁 母 近日后肢无力 弹跳受限 已经去医院拍片 有初步诊断 希望再次问诊确认下
回复总结:猫咪出现后肢无力的症状,考虑是猫咪髋关节或股骨头异常导致的问题。治疗方面,建议给猫咪服用宠物专用广谱消炎药,控制炎症,同时配合服用止疼药,控制疼痛症状。此外,还需要配合服用宠物专用营养关节的用药,促进关节疾病快速恢复。然后,注意近期不要让猫咪剧烈运动,同时不要让猫咪过于肥胖。
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x光片来看,猫咪是有髋关节,股骨头问题,从而引发了后肢无力或者行走动作变形的症状。 图片上我画圈这个位置。
为保护用户隐私不显示图片/视频
能否确定是先天性的吗?还是外伤引起?有无修复的治疗方案?需要手术吗?除了手术有无保守治疗方案?如果手术,手术的安全性以及术后的效果如何?
陈奕达
执业兽医师
您好,1.猫咪小时候是否做过这个方面的检查以及疾病病史?如果没有小时候的检查数据进行对比,是没有办法百分之百判断是否先天性发育不良问题。2.如果猫咪发病之前,没有受伤,以及剧烈运动的情况下,那么确实跟发育有一定关系。3.猫咪这种情况如果现在行走姿态还可以,那么可以考虑保守用药治疗观察,如果没有疾病进一步恶化,那么维持用药即可。但是如果已经出现坡脚,或者行走姿势改变,那就只能进行手术治疗了(股骨头切除)。4.如果手术治疗,①这个手术属于常见手术,只要猫咪没有基础疾病,那么猫咪手术成功率以及安全系数还是比较高的。②如果术后恢复的很好,那么猫咪可以正常行走,但是不能剧烈运动。(非专业人,是看不出来动过手术的)。③如果恢复的不好,那么猫咪可能会留下坡脚的后遗症问题。
猫咪其他生化指标血常规都正常。 目前吃饭排泄也没问题。走路,跑步都看不出问题,只有跳高受限。如果用药维持,建议吃什么药?
陈奕达
执业兽医师
根据猫咪的情况,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。(疗程服用即可,发病的情况下,连续服用1-2周)
2. ***,宠物专用营养关节用药,促进关节疾病恢复。(建议长期服用)
3. ***,宠物专用抗炎止疼用药,缓解关节疼痛。(不疼的情况下,不用给予,疼痛发作,连续服用1-2周)
非常感谢您!保守治疗期间,喂养方面,您还有何建议?是不是要注意要控制高蛋白和高钙饮食,控制体重,平时要减少跑跳活动等等
陈奕达
执业兽医师
您好,猫咪这种情况一般正常吃喝就行,没有特殊忌口的。然后注意不要让猫咪剧烈运动,以及不要过于肥胖即可。猫咪这种情况暂时不建议补钙。如果需要补钙,需要测试是否缺钙。不缺钙,强行补钙,反而不好。
陈医生 不好意思 再次打扰。药已经买了,一般吃多长时间?这个情况有自愈的可能吗?如果症状没有改善,后腿依然无力,是不是就要考虑手术了,担心一直用药维持,病灶会加重~
陈奕达
执业兽医师
您好,1.如果猫咪没有出现坡脚症状,并且没有频繁疼痛,那么个人认为可以考虑暂时不用手术,用药维持即可。因为手术也并不是百分之百成功的。2.猫咪这种疾病问题,肯定会随着年龄老化,关节老化而加重。3.使用时间,上述已经帮您表明,这边再给您截图一下。
为保护用户隐私不显示图片/视频
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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