咨询描述:狗狗10岁6个月,昨天还活蹦乱跳,今早起来突然双腿无力,早晨排尿后,逐渐走路不稳,无法站立。前腿僵直,但是眼神不涣散,可以稍微进食喝水。但是仍旧无法站立,有宠物医生初步看诊,之前照X光没发现有任何骨头的问题,打了止疼和消炎针。现在仍旧无法站立,也没有进行排泄。偶尔喘息,但是比较平静。想咨询医生可能的病因和后续治疗。
问题大致一样,细节不同?
王曌
执业兽医师
他这个给做的什么检查?有没有抽血检查,然后我想知道昨天有没有给他吃过什么东西或者剧烈运动看一下他的牙龈什么颜色?
我在加拿大,医生就是测了体温,用小钳子夹了夹皮毛,用小锤子测了膝跳反应,(前腿没知觉,后腿有反应)。抽血了,但是要明天下午才能看到结果。昨天吃的一切正常,但是他要零食的时候大跳了两下(他每天都会有类似的跳跃)。牙龈颜色请看照片。
为保护用户隐私不显示图片/视频
王曌
执业兽医师
他这个从牙龈上看的话,没有出现这个低血糖的情况,完了之后他们那边怎么这个血液结果还要隔一天呢?在国内的话这个就是当天就出来了一般在国内的话这个就是当天就出来了,一般就是半个小时内,你家这个年龄也是一个老年犬,他出现这种情况考虑一是他的这个心脏问题或者是小脑问题,2一个可能是关节问题但是从你描述的这个情况看的话就是小脑神经这块的他出现这种情况考虑一是他的这个心脏问题或者是小脑问题,2一个可能是关节问题,但是从你描述的这个情况看的话,就是小脑神经这块的问题应该是概率大,还有一种就是中毒,这个你要看他有没有吃什么异物,或者说误食人药。这个从它生化结果上能看来。
他确实没有吃什么异物,我们也觉得是神经问题。医生说要照核磁共振才能确定,以及后续手术。但是费用非常高,而且他十岁了,我们也在担心他的生活质量。现在我的问题是1. 他已经12个小时没有排泄,神经损伤会导致无法自主排泄吗? 2.如果不进行高昂费用的核磁共振和手术,我们照顾这样的他,他会有痛感吗?有存活多久的希望?还是要做坏的打算比如说安乐死?
王曌
执业兽医师
这个一般不会出现排泄困难,你这边可以给他去喂一些流食,完了之后如果想要保守治疗的话可以给他用点那个抗癫痫的药。营养神经的药物完了之后还有这个中成药的话可以给他吃,活血化瘀,伸筋活络的以及针灸。
我们这边没有针灸。所以有哪些抗癫痫/修复神经/活血化瘀药您能开给我吗?
王曌
执业兽医师
我给宝贝开的药里******具有镇静抗癫痫的作用,日常吃的狗粮也需要换成专门的神经护理处方粮,具体的用法用量可以点击处方查看,也可根据需求自行选择购买。同时注意一定要坚持服用抗癫痫药物,观察用药后的控制情况,定期复查,还需要改善环境,宝贝可以触及的地方不要有尖锐物,防止癫痫发作抽搐时受伤,提供舒适的窝给它休息,还要注意避免受到刺激,包括噪音、人为刺激、其他动物的刺激等。
说是中成药 修复神经的。请问除了您开的抗癫痫的药物,还有什么神经修复的药物吗?
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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猫:每只15mg,每周2次\n5.控制猫应激时的吼叫(如驾车时):2-3mg\/kg,口服\n6.抗破伤风等导致的惊厥:1-4mg\/kg,口服,每天2次","contraindication":"肝肾功能不全、支气管哮喘或呼吸抑制的患病动物禁用。严重贫血、心脏疾患的患病动物及怀孕动物慎用。","adverse_reaction":"常见的不良反应有镇静、共济失调、多食、多饮、多尿等,相对犬而言,猫的多饮多尿较为少见。体重的增加是服用苯巴比妥药物的常见问题,而且这可能是个无法避免的副作用,要控制饮食,尽管宠物表现的很饿。肝毒性进展是一种罕见的并发症,显着的肝毒性的临床特征包括厌食、沉郁、腹水和偶见的黄疸,偶见肝性皮肤病,极少数病例可引起贫血、血小板减少和中性粒细胞的减少,其它不常见副反应有面部或全身性的瘙痒、免疫介导的超敏反应,如发烧、皮疹和淋巴结增大,引起胰腺炎、猫假性淋巴瘤(罕见),通常这些不良反应在停药和适当的治疗后,是可逆的。","attention":"1.中毒时可用安钠咖、戊四氮、尼可刹米等中枢兴奋药解救。\n2.内服中毒的初期,可先用1:2000的高锰酸钾洗胃,再以硫酸钠(忌用硫酸镁)导泻,并结合用碳酸氢钠碱化尿液以加速药物排泄。","interaction":"","approval_no":"兽药字150041225","storage_method":"常温通风的环境。","validity":"3年","manufacturer":"济宁万禾生物科技有限公司","status":0,"created_at":"2021-12-01 16:47:12","updated_at":"2024-10-10 10:52:48"}},"product_sku_info":{"id":861,"product_id":819,"title":"拜卡拜维安苯巴比妥片 100mg×8片×2板\/盒","advword":null,"price":108,"market_price":160,"cost_price":0,"stock":0,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"16片盒装"}},"cover":null,"thumb":"","sale_count":881,"status":0,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-21 17:39:56","updated_at":"2024-10-02 13:19:01"}}}}}}
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