咨询描述:大夫,你好,狗狗后腿突然瘸了,没有明显外伤,摸着也没有疙瘩或是断裂的地方,这是怎么了啊?吃点儿什么药呢?
问题大致一样,细节不同?
周亭宇
执业兽医师
您好,它多大年龄?您拉伸一下患肢看看有没有疼痛反应?再捏一下膝关节看看有没有疼痛反应?
狗狗五岁4个月,然后我今天摸了摸没有明显的疼痛,从爪子摸到了大腿根儿,没有一摸就滋哇乱叫的反应
周亭宇
执业兽医师
个人经验,它很可能有髌骨脱位的情况,这是典型的三脚跳,建议送医拍个X光片来确认,如果有脱位,比较严重的话只能手术来复位固定,引起脱位的原因一般是膝盖软骨的退行性病变导致膝关节滑车沟变浅导致髌骨脱位,手术主要是做滑车沟再造等手术来把髌骨复位。
这么严重吗?也没有特别大的活动量啊,这种手术难度怎么样啊,时间恢复期怎么样啊?
周亭宇
执业兽医师
其实这种病在这种中型大型犬中是很常见的,和运动量没有直接关系,一方面和后天的软骨病变有关系,一方面和基因遗传也可能有关系,髌骨脱位的手术对于有骨科专科的医院来说是很常见的手术,都是常规操作,但是需要选择能够专业做骨科的医院,因为这个手术对于很多兽医来说还是有一定难度。术后恢复期大概半个月左右,只要不发生继发感染,预后都比较好,后期一般也不会复发,行动也和正常情况差不多。
但是也有可能不是髌骨脱位,一些关节软骨的病变也可能导致这种情况,治疗就只是保守治疗,服用关节修复的药物治疗就可以,但是保险起见还是建议您先带它拍片来确认一下。
周亭宇
执业兽医师
还是容易拍片确认吧,髌骨脱位一般情况也不会引起疼痛的,就算有疼痛,对于狗狗来说,它耐受性比人强很多,也不会表现出明显的疼痛。
因为拍片去医院比较麻烦,所以想着能不拍片就不拍片,吃点儿药看行不行?
周亭宇
执业兽医师
我这边可以开药,不过需要告知您的是如果真是髌骨脱位,仅仅通过服药保守治疗是没有用的,而且会耽搁病情。如果服药一周后还没有效果,您最好直接送去拍片看看具体情况。它体重多少呢?
周亭宇
执业兽医师
推荐用药如下:
***每天两次,每次4粒,连续半个月
***每天一次,每次3片,连续十天
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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