王冲
执业兽医师
您好,从片子中看,狗狗右后腿没有太大的问题,如果狗狗右后腿有疼痛感或者不敢着地,很可能是活动太过于剧烈抻着了,您可以近几天限制狗狗活动,然后配合止疼药和软骨素调理一下,狗狗没有太大的问题。
没有髌骨/神经/脱臼这些问题吗?因为从早上开始就频繁抬腿,伸腿,而且很明显,比较担心
王冲
执业兽医师
片子中左右两侧髌骨都没有问题,也没有脱位,神经从片子中是看不出来的,如果是髌骨脱位一二级,狗狗髌骨是可以自动复位的,可能会频繁抬腿,但是片子中看不出问题。
您可以先限制狗狗活动,不能站立,跑跳,然后配合止疼药和软骨素调理一周观察
髌骨脱位1,2级和神经是从片子看不出来的,对吗?现在就是限制一下狗狗的行动,不要让它剧烈运动和站立,跑跳,稍微再观察一下?如果还是有这种情况发生,有可能是什么原因造成的,或者是可能患有什么问题
王冲
执业兽医师
神经情况拍片子看不出来,可以通过ct或者核磁看神经。髌骨脱位一二级能够自动复位,不容易判断,现在拍的片子中髌骨位置是正常的。
目前就是通过限制活动,不能跑跳,不能站立,没有疼痛的情况下,只需要吃软骨素调理就可以,软骨素能够增加关节液,修复软骨。
如果还这样,拉伸后腿有疼痛感的话可能是抻着了,需要吃止疼药。
1岁半的狗狗神经有问题的可能性大吗?现在就是看片子是排除了髌骨脱位和脱臼的可能,对吧~如果只是抻着了,只需要休息狗狗就可以自身恢复对吗?后面观察一段时间它还是拉伸后腿抬后腿就需要吃点止痛药来缓解,那这个时间大概是多少天
王冲
执业兽医师
狗狗年龄比较小,如果伤到神经会非常疼,狗狗可能会尖叫,所以伤到神经的可能性比较小。
伸着的可能性大,静养会恢复,如果还是伸腿比较多,最好搭配软骨素调理,一般一周左右会有明显效果
就是按照片子来看是排除了髌骨脱位和脱臼的可能,是这样吗
王冲
执业兽医师
没有疼痛感就不用吃止疼药,只吃软骨素就可以,如果拉扯后腿有疼痛感,就需要吃止疼药
王冲
执业兽医师
家长你好!考虑到目前的问诊暂未沟通出结论,我额外赠送你1次追问次数,以顺利完成本次问诊咨询。
王冲
执业兽医师
这种情况应该还是关节的问题,狗狗落下腿的一瞬间还是瘸腿,还需要观察,如果狗狗持续不敢落地,需要再拍片子看髌骨,目前狗狗需要止疼药和软骨素搭配吃,您需要的话,我给您开点药您喂喂试试
王冲
执业兽医师
家长你好!考虑到目前的问诊暂未沟通出结论,我额外赠送你1次追问次数,以顺利完成本次问诊咨询。
王冲
执业兽医师
根据宝贝的情况,我给它开个处方。处方里面的
1.****,止疼,每天一次,每次半片
2.********,每天两次,每次一粒
您可以根据需求自行选择购买
就是这种情况后面还是会发生,就还是去再拍一下片子,看看髌骨有没有问题
王冲
执业兽医师
是这样的,如果狗狗是髌骨一二级,可能不太容易确定,等到狗狗不敢落地的时候再去拍片子
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
{"490092":{"id":490092,"case_id":55039,"user_id":1869081,"to_user_id":2347544,"type":3,"content":"根据宝贝的情况,我给它开个处方。处方里面的\n1.****,止疼,每天一次,每次半片\n2.********,每天两次,每次一粒\n\n您可以根据需求自行选择购买","media":{"images":{},"videos":{},"business_params":{"prescription_id":146408}},"is_doctor":1,"status":1,"created_at":"2023-06-28 18:24:31","show_rx":true,"rx_info":{"id":146408,"rx_no":2.02306281824075e+24,"user_id":2347544,"doctor_user_id":1869081,"is_independent":0,"case_id":3109983,"pet_info":{"pet_id":384535,"pet_name":"博美","pet_nickname":"七七","pet_gender":3,"pet_birth":"1-6","pet_weight":4,"pet_vaccination_status":1,"pet_in_insect_repellent_status":1,"pet_out_insect_repellent_status":1,"pet_age_format":"1岁6个月"},"diagnose":"怀疑关节损伤","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2023-06-28 18:24:07","updated_at":"2023-06-28 18:24:31","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":101017,"prescription_id":146408,"doctor_user_id":1869081,"product_id":766,"product_sku_id":808,"dose":0.5,"dose_unit":"片","use_method":"口服","frequency":"每天1次","days":7,"number":1,"remark":"","created_at":"2023-06-28 18:24:07","updated_at":"2023-06-28 18:24:07","product_info":{"id":766,"hash_id":"QKNDzP4DqKgewlnv","class_ids":{"0":1},"category_ids":{"1":162},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":34,"sell_point":"贝安可 维他昔布咀嚼片(犬)8mg","title":"欧博方贝安可 维他昔布咀嚼片(犬)8mg×10片\/盒","recommend_reason":{"0":"用于治疗犬围手术期及临床手术等引起的炎症和疼痛"},"baike_guide_text":"","baike_article_hash_id":"","advword":"止痛,胰腺炎,尿道结石","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"10片盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/08d27a5a9cca84129afc6445148005dd.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":98,"max_price":98,"sale_count":46,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-20 14:40:02","updated_at":"2024-04-11 13:34:27","ins":{"id":34,"hash_id":"","class_ids":"[\u00221\u0022]","title":"","common_name":"维他昔布咀嚼片","trade_name":"贝安可","en_name":"Vitacoxib Chewable Tablets","brand_name":"欧博方","is_prescription":1,"cover":"\/drug\/2020\/10\/0ec721cd767e0f4e6fdf311f89f5726e.JPG","specification":"8mg×10片\/盒","reference_price":150,"component":"维他昔布","indication":"用于治疗犬围手术期及临床手术等引起的炎症和疼痛。","usage_dosage":"以维他昔布计,内服。每1kg体重,犬2mg,每日一次。建议饲喂食物后给药,术前及术后可连续给药7日(详见说明书)。","contraindication":"1.对本品活性成分维他昔布有过敏史的动物禁用。\n2.本品对患有胃肠道出血、血液病或其它出血性疾病的犬禁用。","adverse_reaction":"按推荐的用法用量使用,尚未见不良反应。","attention":"1.如果患病犬之前对 NSAIDS不耐受,应在兽医的严格监测下使用本品。\n2.如果观察到下列症状应停止用药:反复腹泻、呕吐、粪便隐血、体重突然下降、厌食、嗜睡、肾或肝功能退化。\n3.繁殖、妊娠或泌乳雌犬,幼犬(例如1周龄以下或体重小于4公斤的犬)或疑似和确诊有肾、心脏或肝功能损害的犬,应在兽医的指导下使用。\n4.宠物主人应该警惕诸如厌食、精神萎靡、无力等症状和体征,而且当有上述任何症状或体征发生后,应该马上寻求兽医帮助。","interaction":"由于非甾体类抗炎药( NSAIDS)具有潜在发生胃溃疡或穿孔的风险,因此在使用本品时应当避免使用其它抗炎类药物,如NSAIDs或皮质类固醇类药。","approval_no":"兽药字(2019)153717024","storage_method":"密封,在凉暗干燥处保存。","validity":"3年","manufacturer":"青岛欧博方医药科技有限公司","status":1,"created_at":"2020-10-30 15:19:39","updated_at":"2020-10-30 15:19:39"}},"product_sku_info":{"id":808,"product_id":766,"title":"欧博方贝安可 维他昔布咀嚼片(犬)8mg×10片\/盒","advword":null,"price":98,"market_price":130,"cost_price":0,"stock":93,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"10片盒装"}},"cover":null,"thumb":"","sale_count":51,"status":1,"delete_status":0,"created_at":"2021-12-20 14:40:02","updated_at":"2024-04-11 12:07:11"}},"1":{"id":101018,"prescription_id":146408,"doctor_user_id":1869081,"product_id":777,"product_sku_id":819,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2023-06-28 18:24:07","updated_at":"2023-06-28 18:24:07","product_info":{"id":777,"hash_id":"Ldvaqr4eNGg6De9l","class_ids":{"0":1},"category_ids":{"37":196},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":21,"sell_point":"摩登狗鲨鱼软骨关节宝","title":"摩登狗鲨鱼软骨关节宝 60粒\/瓶","recommend_reason":{"0":"用于颈椎、腰椎、髋关节发育不良及骨科手术后恢复","1":"促进关节软骨组织再生、改善关节的活动功能","2":"消除关节炎症有很好的效果,预防关节病变和髋关节发育不良"},"baike_guide_text":"","baike_article_hash_id":"","advword":"关节","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"60粒瓶装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/5eec19f32fcc5bfa1cdc34558aad5e7e.jpeg","images":{"0":"https:\/\/cdn.moguvet.com\/shop\/2023\/09\/c4494e2e41c89b9a675efb5f9ab6ab14.jpg"},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":148,"max_price":148,"sale_count":196,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-20 16:03:29","updated_at":"2024-05-13 11:24:19","ins":{"id":21,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"鲨鱼软骨关节宝","trade_name":"鲨鱼软骨宝","en_name":"Joint Care Tablets","brand_name":"摩登狗","is_prescription":0,"cover":"\/drug\/2020\/10\/aba5a2f753b43988c3b7c58cce09d89c.JPG","specification":"60粒\/瓶","reference_price":260,"component":"鲨鱼软骨素(1200mg\/片)和 D-氨基酸葡萄糖盐酸盐,维生素C,维生素A,维生素B1,维生素B2,烟酸,维生素B12","indication":"1.用于颈椎、腰椎、关节病变和髋关节发育不良及骨科手术后恢复。\n2.促进关节软骨组织细胞再生和修复,提供关节液生成的重要元素。\n3.提供关节健康所必需的粘多糖的全部成分,改善关节的活动功能。\n4.对消除关节炎症有很好的效果,预防关节病变和髋关节发育不良。","usage_dosage":"1. 小于5kg,每次1粒;5-10kg,每次2粒;10kg以上,每次4粒。每天2次或遵医嘱。\n2. 一个疗程10天,保健期量减半。","contraindication":"","adverse_reaction":"","attention":"勿让儿童接触本品。","interaction":"","approval_no":"兽药字031801309","storage_method":"请保持本品密封,置于阴凉干燥处保存","validity":"2年","manufacturer":"摩登狗(美国)宠物用品有限公司","status":1,"created_at":"2020-10-27 15:27:59","updated_at":"2020-10-27 15:31:11"}},"product_sku_info":{"id":819,"product_id":777,"title":"摩登狗鲨鱼软骨关节宝 60粒\/瓶","advword":null,"price":148,"market_price":350,"cost_price":0,"stock":264,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"60粒瓶装"}},"cover":null,"thumb":"","sale_count":200,"status":1,"delete_status":0,"created_at":"2021-12-20 16:03:29","updated_at":"2024-05-13 11:24:19"}}},"drug_data_bak":{"0":{"id":101017,"prescription_id":146408,"doctor_user_id":1869081,"product_id":766,"product_sku_id":808,"dose":0.5,"dose_unit":"片","use_method":"口服","frequency":"每天1次","days":7,"number":1,"remark":"","created_at":"2023-06-28 18:24:07","updated_at":"2023-06-28 18:24:07","product_info":{"id":766,"hash_id":"QKNDzP4DqKgewlnv","class_ids":{"0":1},"category_ids":{"1":162},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":34,"sell_point":"贝安可 维他昔布咀嚼片(犬)8mg","title":"欧博方贝安可 维他昔布咀嚼片(犬)8mg×10片\/盒","recommend_reason":{"0":"用于治疗犬围手术期及临床手术等引起的炎症和疼痛"},"baike_guide_text":"","baike_article_hash_id":"","advword":"止痛,胰腺炎,尿道结石","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"10片盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/08d27a5a9cca84129afc6445148005dd.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":98,"max_price":98,"sale_count":46,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-20 14:40:02","updated_at":"2024-04-11 13:34:27","ins":{"id":34,"hash_id":"","class_ids":"[\u00221\u0022]","title":"","common_name":"维他昔布咀嚼片","trade_name":"贝安可","en_name":"Vitacoxib Chewable Tablets","brand_name":"欧博方","is_prescription":1,"cover":"\/drug\/2020\/10\/0ec721cd767e0f4e6fdf311f89f5726e.JPG","specification":"8mg×10片\/盒","reference_price":150,"component":"维他昔布","indication":"用于治疗犬围手术期及临床手术等引起的炎症和疼痛。","usage_dosage":"以维他昔布计,内服。每1kg体重,犬2mg,每日一次。建议饲喂食物后给药,术前及术后可连续给药7日(详见说明书)。","contraindication":"1.对本品活性成分维他昔布有过敏史的动物禁用。\n2.本品对患有胃肠道出血、血液病或其它出血性疾病的犬禁用。","adverse_reaction":"按推荐的用法用量使用,尚未见不良反应。","attention":"1.如果患病犬之前对 NSAIDS不耐受,应在兽医的严格监测下使用本品。\n2.如果观察到下列症状应停止用药:反复腹泻、呕吐、粪便隐血、体重突然下降、厌食、嗜睡、肾或肝功能退化。\n3.繁殖、妊娠或泌乳雌犬,幼犬(例如1周龄以下或体重小于4公斤的犬)或疑似和确诊有肾、心脏或肝功能损害的犬,应在兽医的指导下使用。\n4.宠物主人应该警惕诸如厌食、精神萎靡、无力等症状和体征,而且当有上述任何症状或体征发生后,应该马上寻求兽医帮助。","interaction":"由于非甾体类抗炎药( NSAIDS)具有潜在发生胃溃疡或穿孔的风险,因此在使用本品时应当避免使用其它抗炎类药物,如NSAIDs或皮质类固醇类药。","approval_no":"兽药字(2019)153717024","storage_method":"密封,在凉暗干燥处保存。","validity":"3年","manufacturer":"青岛欧博方医药科技有限公司","status":1,"created_at":"2020-10-30 15:19:39","updated_at":"2020-10-30 15:19:39"}},"product_sku_info":{"id":808,"product_id":766,"title":"欧博方贝安可 维他昔布咀嚼片(犬)8mg×10片\/盒","advword":null,"price":98,"market_price":130,"cost_price":0,"stock":93,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"10片盒装"}},"cover":null,"thumb":"","sale_count":51,"status":1,"delete_status":0,"created_at":"2021-12-20 14:40:02","updated_at":"2024-04-11 12:07:11"}},"1":{"id":101018,"prescription_id":146408,"doctor_user_id":1869081,"product_id":777,"product_sku_id":819,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2023-06-28 18:24:07","updated_at":"2023-06-28 18:24:07","product_info":{"id":777,"hash_id":"Ldvaqr4eNGg6De9l","class_ids":{"0":1},"category_ids":{"37":196},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":21,"sell_point":"摩登狗鲨鱼软骨关节宝","title":"摩登狗鲨鱼软骨关节宝 60粒\/瓶","recommend_reason":{"0":"用于颈椎、腰椎、髋关节发育不良及骨科手术后恢复","1":"促进关节软骨组织再生、改善关节的活动功能","2":"消除关节炎症有很好的效果,预防关节病变和髋关节发育不良"},"baike_guide_text":"","baike_article_hash_id":"","advword":"关节","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"60粒瓶装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/5eec19f32fcc5bfa1cdc34558aad5e7e.jpeg","images":{"0":"https:\/\/cdn.moguvet.com\/shop\/2023\/09\/c4494e2e41c89b9a675efb5f9ab6ab14.jpg"},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":148,"max_price":148,"sale_count":196,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-20 16:03:29","updated_at":"2024-05-13 11:24:19","ins":{"id":21,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"鲨鱼软骨关节宝","trade_name":"鲨鱼软骨宝","en_name":"Joint Care Tablets","brand_name":"摩登狗","is_prescription":0,"cover":"\/drug\/2020\/10\/aba5a2f753b43988c3b7c58cce09d89c.JPG","specification":"60粒\/瓶","reference_price":260,"component":"鲨鱼软骨素(1200mg\/片)和 D-氨基酸葡萄糖盐酸盐,维生素C,维生素A,维生素B1,维生素B2,烟酸,维生素B12","indication":"1.用于颈椎、腰椎、关节病变和髋关节发育不良及骨科手术后恢复。\n2.促进关节软骨组织细胞再生和修复,提供关节液生成的重要元素。\n3.提供关节健康所必需的粘多糖的全部成分,改善关节的活动功能。\n4.对消除关节炎症有很好的效果,预防关节病变和髋关节发育不良。","usage_dosage":"1. 小于5kg,每次1粒;5-10kg,每次2粒;10kg以上,每次4粒。每天2次或遵医嘱。\n2. 一个疗程10天,保健期量减半。","contraindication":"","adverse_reaction":"","attention":"勿让儿童接触本品。","interaction":"","approval_no":"兽药字031801309","storage_method":"请保持本品密封,置于阴凉干燥处保存","validity":"2年","manufacturer":"摩登狗(美国)宠物用品有限公司","status":1,"created_at":"2020-10-27 15:27:59","updated_at":"2020-10-27 15:31:11"}},"product_sku_info":{"id":819,"product_id":777,"title":"摩登狗鲨鱼软骨关节宝 60粒\/瓶","advword":null,"price":148,"market_price":350,"cost_price":0,"stock":264,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"60粒瓶装"}},"cover":null,"thumb":"","sale_count":200,"status":1,"delete_status":0,"created_at":"2021-12-20 16:03:29","updated_at":"2024-05-13 11:24:19"}}}}}}
微信扫一扫
立即问宠医