咨询描述：19号我带狗狗去绝育，狗狗是单侧隐睾，拍b超的时候确定狗狗隐睾位置在右侧。医生让住院三天，第一天去看的时候就有点不对劲，后腿没力，我以为是绝育后疼的，就没在意，第三天接的时候发现狗走路右边后腿拖着走，医生让拍个片子，拍完告诉我狗的股骨头坏死了。送去之前是挺好的，4月份做过检查心脏，腹部彩超，五分类血常规和生化，没有发现有问题，这次去绝育也做了血常规和生化，生化还是24项的均没检查出任何问题。也拍过心脏和气管确认没有任何问题。股骨头坏死生化能查的出来的吗？
问题大致一样，细节不同？
吴继强
执业兽医师
您好，小白家长，感谢您对我以及蘑菇宠医平台的信任！抱歉刚看到信息，股骨头坏死是髋关节股骨头骨骼关节问题，血液检查超声检查是看不出的，只有发现走路异常拍片检查才能看到。
看您发的图片看，两侧都不好，目前狗狗走路或者触摸活动关节疼痛反应大吗，
挺大的。医生给开了***止疼药。能看得出来他这样是坏死了多久了吗？如果要是做手术风险大吗？狗狗也6-7岁了。刚绝育完。一下子不知道怎么办好。
吴继强
执业兽医师
您好，卡疼痛反应大时可以适当止痛药控制，但是洛芬这类止痛药不能吃太久，会刺激胃肠，导致粘膜损伤出血。手术的话有两个方案，一个是股骨头切除，还有就是股骨头钛合金置换。风险主要是麻醉风险评估。
刚做完绝育，短时间再次麻醉风险比较大，可以先口服关节药保护关节维护关节，多注意观察走路情况，
1.***，一天两次，根据狗狗体重5-10公斤吃两片。
2.***，一天两次，5-10公斤体重也是吃两片。
注意活动量，避免剧烈运动导致关节负重过大。
好，我稍后去买。像这样选择保守治疗会好吗？还是只能等过段时间做切除会比较好，置换可能目前支撑不起2个关节的置换。切除会有后遗症吗？
吴继强
执业兽医师
您好，保守吃药只能尽量减少关节损伤摩擦疼痛，无法恢复正常。
对于手术切除后，股骨头就不再出现关节面摩擦疼痛，靠周围肌肉运动，小型犬狗狗体重负重不是太大，走路一般没有后遗症。
切除后，时间长了会出现什么问题吗？狗狗心脏二尖瓣三尖瓣有返流的现象，加上心脏有些许肥大，这样的情况做手术没什么问题吧！
吴继强
执业兽医师
切除后，股骨头没有了，不会有影响，就不会接触髋关节出现摩擦疼痛。
手术主要是麻醉评估监控，身体有问题麻醉风险会大，需要临床检查综合评估麻醉风险。
好的好的，实在是，太谢谢您了！您这个通消丹没看到淘宝有卖，如果吃完了怎么买呀？
吴继强
执业兽医师
您客气，您可以在这个问诊平台上面搜索买药申请免费开方，
为保护用户隐私不显示图片/视频
吴继强
执业兽医师
您好，希望我的建议能够帮助到您，非常感谢您的信任！请您在咨询结束后留下 5 星评价，您的评价是我工作最大的支持，感谢。需要复诊时可以加关注或者在您的咨询列表找到我，在我的主页选择合适的问诊服务包。祝您家小白健康成长。
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
{"499115":{"id":499115,"case_id":55890,"user_id":2281937,"to_user_id":2141024,"type":3,"content":"***和***。","media":{"images":{},"videos":{},"business_params":{"prescription_id":150873}},"is_doctor":1,"status":1,"created_at":"2023-08-23 10:03:17","show_rx":true,"rx_info":{"id":150873,"rx_no":2.0230823095927502e+24,"user_id":2141024,"doctor_user_id":2281937,"is_independent":0,"case_id":3152498,"pet_info":{"pet_id":330410,"pet_name":"比熊","pet_nickname":"小白","pet_gender":1,"pet_birth":"6-0","pet_weight":0,"pet_vaccination_status":1,"pet_in_insect_repellent_status":1,"pet_out_insect_repellent_status":1,"pet_age_format":"6岁"},"diagnose":"营养关节","signature":"","deadline":null,"status":1,"send_status":1,"use_status":1,"created_at":"2023-08-23 09:59:27","updated_at":"2023-08-23 12:08:03","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":110661,"prescription_id":150873,"doctor_user_id":2281937,"product_id":777,"product_sku_id":819,"dose":2,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":14,"number":1,"remark":"","created_at":"2023-08-23 09:59:27","updated_at":"2023-08-23 09:59:27","product_info":{"id":777,"hash_id":"Ldvaqr4eNGg6De9l","class_ids":{"0":1},"category_ids":{"0":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 Ⅱ 0.5g\/50片","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":"0.5g\/50片"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/07\/8da0525c650b3c17a3512c9dcc0de69c.jpg","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":222,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-20 16:03:29","updated_at":"2024-09-17 00:29:09","ins":{"id":21,"hash_id":"","class_ids":"[1,2]","title":"摩登狗鲨鱼软骨关节宝 Ⅱ 0.5g\/50片","common_name":"摩登狗鲨鱼软骨关节宝 Ⅱ","trade_name":"鲨鱼软骨宝","en_name":"Joint Care Tablets","brand_name":"摩登狗","is_prescription":0,"cover":"\/drug\/2024\/07\/1f75c2fe0628064033b32256f92a074d.jpg","specification":"0.5g\/50片","reference_price":260,"component":"葡萄糖胺盐酸盐、胶原蛋白、糊精淀粉、乳糖、硫酸软骨素、维生素C、维生素B1、维生素B2、维生素B6、维生素B12、烟酰胺、维生素A","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":"犬猫口服，5kg体重1片，5-10kg体重2片，10k以上每次4粒，每天两次，可长期使用","contraindication":"","adverse_reaction":"","attention":"仅用于犬 猫，避免儿童接触","interaction":"","approval_no":"冀饲预(2019)35004","storage_method":"请保持本品密封，置于阴凉干燥处保存","validity":"2年","manufacturer":"秦皇岛莱银生物科技有限公司","status":1,"created_at":"2020-10-27 15:27:59","updated_at":"2024-07-04 15:45:16"}},"product_sku_info":{"id":819,"product_id":777,"title":"摩登狗鲨鱼软骨关节宝 Ⅱ 0.5g\/50片","advword":null,"price":148,"market_price":350,"cost_price":0,"stock":237,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"0.5g\/50片"}},"cover":null,"thumb":"","sale_count":227,"status":1,"delete_status":0,"cloud_repo_id":1,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-20 16:03:29","updated_at":"2024-09-16 13:01:15"}},"1":{"id":110662,"prescription_id":150873,"doctor_user_id":2281937,"product_id":806,"product_sku_id":848,"dose":2,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":14,"number":1,"remark":"","created_at":"2023-08-23 09:59:27","updated_at":"2023-08-23 09:59:27","product_info":{"id":806,"hash_id":"ay8LblpOPj49EdBq","class_ids":{"0":1,"1":2},"category_ids":{"37":196},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":153,"sell_point":"贝里奥关节通消丹 宠物营养补充剂","title":"贝里奥关节通消丹 宠物营养补充剂 0.4gx12粒x5板\/盒","recommend_reason":{"0":"用于犬猫关节肿胀、变形、疼痛","1":"用于犬猫不明原因跛行、卧地不起、瘫痪","2":"用于犬猫肢体关节疼痛、骨质增生、腰椎骨刺"},"baike_guide_text":"","baike_article_hash_id":"","advword":"关节疼痛,关节肿胀,跛行,骨骼,肌肉","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"0.4gx12粒x5板\/盒"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2023\/07\/1d4f6939963f6e26afe6146fd9160ff9.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":128,"max_price":128,"sale_count":77,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-21 16:22:42","updated_at":"2024-09-16 12:18:11","ins":{"id":153,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"贝里奥关节通消丹 宠物营养补充剂","common_name":"宠物营养补充剂","trade_name":"贝里奥关节通消丹","en_name":"CHONGWUYINGYANGBUCHONGJI","brand_name":"贝里奥","is_prescription":0,"cover":"\/drug\/2023\/07\/c8483c27c8a30b6c769e86c2ac26cd2a.jpg","specification":"0.4gx12粒x5板\/盒","reference_price":180,"component":"川穹、苍术、首乌藤、香附、白芍、香附。茯苓、泽泻、甘草、糊精。\n添加剂：牛磺酸、淀粉、微晶纤维素。","indication":"1.关节肿胀、变形、疼痛\n2.不明原因跛行\n3.卧地不起、瘫痪\n4.肢体关节疼痛、骨质增生、腰椎骨刺","usage_dosage":"<2.5KG 0.5粒\/次 每日2次\n2.5-5KG 1粒\/次 每日2次\n5-10KG 2粒\/次 每日2次\n10-15KG 3粒\/次 每日2次\n15-20KG 4粒\/次 每日2次\n>20KG 5粒\/次 每日2次","contraindication":"","adverse_reaction":"暂未见不良反应。","attention":"妊娠期动物慎用。\n禁止饲喂反刍动物。","interaction":"","approval_no":"","storage_method":"本品应储存于干燥、清洁、通风处。","validity":"24个月","manufacturer":"河南贝里奥生物科技有限公司","status":1,"created_at":"2021-03-11 14:03:22","updated_at":"2023-07-24 16:27:02"}},"product_sku_info":{"id":848,"product_id":806,"title":"贝里奥关节通消丹 宠物营养补充剂 0.4gx12粒x5板\/盒","advword":null,"price":128,"market_price":180,"cost_price":0,"stock":52,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"0.4gx12粒x5板\/盒"}},"cover":null,"thumb":"","sale_count":79,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-21 16:22:42","updated_at":"2024-09-16 11:51:19"}}},"drug_data_bak":{"0":{"id":110661,"prescription_id":150873,"doctor_user_id":2281937,"product_id":777,"product_sku_id":819,"dose":2,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":14,"number":1,"remark":"","created_at":"2023-08-23 09:59:27","updated_at":"2023-08-23 09:59:27","product_info":{"id":777,"hash_id":"Ldvaqr4eNGg6De9l","class_ids":{"0":1},"category_ids":{"0":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 Ⅱ 0.5g\/50片","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":"0.5g\/50片"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/07\/8da0525c650b3c17a3512c9dcc0de69c.jpg","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":222,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-20 16:03:29","updated_at":"2024-09-17 00:29:09","ins":{"id":21,"hash_id":"","class_ids":"[1,2]","title":"摩登狗鲨鱼软骨关节宝 Ⅱ 0.5g\/50片","common_name":"摩登狗鲨鱼软骨关节宝 Ⅱ","trade_name":"鲨鱼软骨宝","en_name":"Joint Care Tablets","brand_name":"摩登狗","is_prescription":0,"cover":"\/drug\/2024\/07\/1f75c2fe0628064033b32256f92a074d.jpg","specification":"0.5g\/50片","reference_price":260,"component":"葡萄糖胺盐酸盐、胶原蛋白、糊精淀粉、乳糖、硫酸软骨素、维生素C、维生素B1、维生素B2、维生素B6、维生素B12、烟酰胺、维生素A","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":"犬猫口服，5kg体重1片，5-10kg体重2片，10k以上每次4粒，每天两次，可长期使用","contraindication":"","adverse_reaction":"","attention":"仅用于犬 猫，避免儿童接触","interaction":"","approval_no":"冀饲预(2019)35004","storage_method":"请保持本品密封，置于阴凉干燥处保存","validity":"2年","manufacturer":"秦皇岛莱银生物科技有限公司","status":1,"created_at":"2020-10-27 15:27:59","updated_at":"2024-07-04 15:45:16"}},"product_sku_info":{"id":819,"product_id":777,"title":"摩登狗鲨鱼软骨关节宝 Ⅱ 0.5g\/50片","advword":null,"price":148,"market_price":350,"cost_price":0,"stock":237,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"0.5g\/50片"}},"cover":null,"thumb":"","sale_count":227,"status":1,"delete_status":0,"cloud_repo_id":1,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-20 16:03:29","updated_at":"2024-09-16 13:01:15"}},"1":{"id":110662,"prescription_id":150873,"doctor_user_id":2281937,"product_id":806,"product_sku_id":848,"dose":2,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":14,"number":1,"remark":"","created_at":"2023-08-23 09:59:27","updated_at":"2023-08-23 09:59:27","product_info":{"id":806,"hash_id":"ay8LblpOPj49EdBq","class_ids":{"0":1,"1":2},"category_ids":{"37":196},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":153,"sell_point":"贝里奥关节通消丹 宠物营养补充剂","title":"贝里奥关节通消丹 宠物营养补充剂 0.4gx12粒x5板\/盒","recommend_reason":{"0":"用于犬猫关节肿胀、变形、疼痛","1":"用于犬猫不明原因跛行、卧地不起、瘫痪","2":"用于犬猫肢体关节疼痛、骨质增生、腰椎骨刺"},"baike_guide_text":"","baike_article_hash_id":"","advword":"关节疼痛,关节肿胀,跛行,骨骼,肌肉","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"0.4gx12粒x5板\/盒"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2023\/07\/1d4f6939963f6e26afe6146fd9160ff9.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":128,"max_price":128,"sale_count":77,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-21 16:22:42","updated_at":"2024-09-16 12:18:11","ins":{"id":153,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"贝里奥关节通消丹 宠物营养补充剂","common_name":"宠物营养补充剂","trade_name":"贝里奥关节通消丹","en_name":"CHONGWUYINGYANGBUCHONGJI","brand_name":"贝里奥","is_prescription":0,"cover":"\/drug\/2023\/07\/c8483c27c8a30b6c769e86c2ac26cd2a.jpg","specification":"0.4gx12粒x5板\/盒","reference_price":180,"component":"川穹、苍术、首乌藤、香附、白芍、香附。茯苓、泽泻、甘草、糊精。\n添加剂：牛磺酸、淀粉、微晶纤维素。","indication":"1.关节肿胀、变形、疼痛\n2.不明原因跛行\n3.卧地不起、瘫痪\n4.肢体关节疼痛、骨质增生、腰椎骨刺","usage_dosage":"<2.5KG 0.5粒\/次 每日2次\n2.5-5KG 1粒\/次 每日2次\n5-10KG 2粒\/次 每日2次\n10-15KG 3粒\/次 每日2次\n15-20KG 4粒\/次 每日2次\n>20KG 5粒\/次 每日2次","contraindication":"","adverse_reaction":"暂未见不良反应。","attention":"妊娠期动物慎用。\n禁止饲喂反刍动物。","interaction":"","approval_no":"","storage_method":"本品应储存于干燥、清洁、通风处。","validity":"24个月","manufacturer":"河南贝里奥生物科技有限公司","status":1,"created_at":"2021-03-11 14:03:22","updated_at":"2023-07-24 16:27:02"}},"product_sku_info":{"id":848,"product_id":806,"title":"贝里奥关节通消丹 宠物营养补充剂 0.4gx12粒x5板\/盒","advword":null,"price":128,"market_price":180,"cost_price":0,"stock":52,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"0.4gx12粒x5板\/盒"}},"cover":null,"thumb":"","sale_count":79,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-21 16:22:42","updated_at":"2024-09-16 11:51:19"}}}}}}
微信扫一扫
立即问宠医
