咨询描述:母狗不到6周岁,7月4日或5日给她儿子上耳有水,她看到吓的跑进床底下,不出来,吃饭送到床边吃。7月6日傍晚出来了,发现后肢站不起来,抬头喘气,摸她不叫,看不出哪里疼。当晚去诊所打了封闭针。7月7注射了复合维生素B,头孢,***等,一共4小针,不能自主排尿。7月8月开始针灸,可以排尿。7月9日10日还是注射4小针另外神经营养因子。7月8日一7月14日连续针灸,烤电7天,同时输液神经营养因子。吃了4天护肝护心的药。没有改善,后肢瘫痪,脚尖垂地,喘息厉害,自主排尿一部分还能挤出来一些,大便干。精神状态还好,贪吃,看家护院,摸背捏腿都不叫。7月17一7月26日,连续10天注射不知药名(哈尓滨网购)。爬的挺快,不喘,后腿变直了,脚尖垂地,掐趾缝,缩,吃饭睡觉正常,大便干,自己排尿,也能挤出一些。请问陈医生,下一步如何治疗。
回复总结:狗狗出现后肢瘫痪的情况,引发的原因可能是由于腰椎缓解问题,神经压破导致了后肢瘫痪的情况。处理办法上,建议给狗狗进行后肢脊椎的ct扫描检查,进一步判断压破程度,然后考虑是否需要进行手术治疗。如果无法进一步检查,可以给猫咪服用止疼抗炎的药物提及营养骨关节和神经的药物,同时配合使用电针针灸疗法。
问题大致一样,细节不同?
陈奕达
执业兽医师
您好,感谢您的信任以及等待,谢谢。回复不及时,还请您见谅🙏 🙏 🙏 🙏 🙏 。
您好,根据现有信息,个人比较倾向于狗狗是由于腰椎缓解问题,压破导致了狗狗现在后肢瘫痪的情况。狗狗这种情况,后续治疗建议给予狗狗进行一下后肢脊椎的ct扫描检查,进一步判断压破程度,然后考虑是否需要进行手术治疗。如果无法进一步检查,那么可以在现在的治疗方案基础上,尝试给予狗狗使用电针针灸,刺激疗法试一试效果如何。(说实话,狗狗现在的疾病状况,能够恢复正常行走的概率很低只有20-30%左右)
已经瘫痪一个多月了,现在只是吃B族维生素维持。有没有什么药物可以治疗呢?大活络丸可以吃吗?还有欧庭的神经大元能吃吗?还有一个疑问狗狗刚瘫痪时一直张嘴喘气怎么回事呢,像天热一样,后来不喘了,那时候温度并不高,别的狗也没大口喘气。针灸我尽早快点给他安排上。
为保护用户隐私不显示图片/视频
陈奕达
执业兽医师
您好,1.狗狗这种情况药物的治疗已经没有太大意义了。2.可以尝试给予活络丸,但是效果可能不会太明显。3.图片上的神经大元个人没有用过,不太好帮您评价效果如何。不过是可以尝试给予狗狗使用一个疗程的,观察一下效果如何。4.瘫痪的时候喘气,有可能狗狗是有疼痛感,或者由于瘫痪之后恐惧,害怕,都有关系。5.针灸,最好是电针,普通针灸效果差一些。
谢谢陈大夫的建议!还有2个疑问:这个母狗以前总是坐着蹭屁股。还特别爱掉毛,一揪掉一撮,现在不掉毛了,是缺乏B族维生素导致掉毛吗?现在瘫痪了跟总坐着蹭屁股有关吗?跟B族维生素缺乏有关吗?
陈奕达
执业兽医师
您好,1.口服维生素之后,掉毛缓解,那么确实有可能跟缺乏维生素有关。2.蹭屁股,很有可能跟肛门腺问题有关系。3.掉毛以及蹭屁股,互相之间没有关系。
蹭屁股和瘫痪有关吗,B族维生素缺乏跟瘫痪有关吗?麻烦陈医生了!还有个40来斤大狗也爱掉毛,嘴巴耳朵还有皮肤病,用什么药呢?如果给它也补充B族维生素,用法用量怎样呢?
为保护用户隐私不显示图片/视频
陈奕达
执业兽医师
您好,瘫痪之后,后肢不便会导致蹭屁股,但是这个一般不是狗狗主动的,属于被动。严重瘫痪,跟维生素缺乏没有太大关系。图片上看应该是有耳朵发炎的问题。但是进一步判断疾病因素,需要您这边提供一下化验结果来进行分析。
维生素的补充,您可以按照药物说明书进行给予即可。
然后耳道用药,如果考虑在家保守治疗,您可以告诉我狗狗体重信息,然后这边可以帮您开具一套用药,并且帮您计算好用法用量,供您采纳参考一下。
瘫痪前蹭屁股!白狗有40斤。外用药耳朵嘴巴一样吗?谢谢陈大夫
陈奕达
执业兽医师
您好,1.可以一同使用这个外用药,但是不能让狗狗舔舐,口服这个药物。2.然后这边根据狗狗耳朵的情况,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,控制炎症感染。
2. ***,宠物专用广谱消炎杀菌耳药。
得皮肤病的白狗也总掉毛,能给它吃B族维生素吗?是B1,B2,B6,B12,甲钴胺都吃吗?还有瘫痪的狗有必要用B族维生素吗,口服或者注射,如果注射用法用量怎样?多谢陈大夫!
陈奕达
执业兽医师
您好,可以给予这个狗狗吃维生素b族。吃复合的就可以。瘫痪狗狗正常口服维生素B族即可即可,没有必要注射。
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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