狗狗走路跑动的时候跳脚拍片说是脱位三级
872次阅读
咨询描述:走路跑动的时候跳脚有5-6个月的时间了,吃了***没有好转,今天去拍片说是脱位三级需要手术,但是医生还说要等手术前麻醉检测韧带有没有断裂
问题大致一样,细节不同?
于博
执业兽医师
好的,如果已经是三条腿走路一般属于3级了。是需要通过手术治疗的。***只是维护关节软骨,减小因骨骼关节变形对关节软骨的保护。并不是治疗髌骨脱位的药物。
片子上看是左侧髌骨内翻。一般是两个原因,一个是髌骨滑车沟浅,髌骨固定不了自己滑出滑车沟。一个是前十字韧带断裂。一般通过侧位片可以按出来,但是这个侧位片拍摄角度不正确。没法辨别是否断裂。
那边的医生说要打麻醉之后再把她的双腿拉直才能看得到,有没有断?如果断了说还要大几千,加起来要一万多
他也不是三条腿走路,他是正常四条腿走路,但是会经常抬腿,老是一跳一跳的,还经常跳沙发,跳床,跳上跳下的
于博
执业兽医师
看一下,侧位需要呈90度角拍摄看韧带有没有断裂。
如果它目前偶尔三条腿,大部分是四条条腿的话。可以考虑不手术维持现状。如果是三条腿走路只能手术能恢复四条腿走路
为保护用户隐私不显示图片/视频
所以是可以不手术是吗?有没有保守治疗的办法?那边说不手术可能会残废,肌肉萎缩,它目前还是4条腿活动的,跑跳没问题,就是跑快了就抬腿,那边医生就强调说要打麻醉才能检查韧带有没有断
那如果不手术维持现状不会变得越来越严重吗?就是不确定性的是吗?有可能不会变得严重,有可能会越来越严重,我也不太想手术,狗子受罪恢复时间长,主要说还可能会复发
于博
执业兽医师
那就是还属于2级,3级是3条腿走路,自己不能复原。4级是骨骼变形,手术也不能做了。
但是有问题,只有手术能恢复正常,没有药物恶意治疗。
不手术最好的结果就是维持现状不再发展,坏的结果是,之后慢慢转变为三级,再手术。
所以您要是追求完美的人,那手术时最好的治疗方案。如果说有点瑕疵或者觉得目前是可以接受的那就不手术,维持现状
于博
执业兽医师
不手术:平时饲喂***维护关节
不要蹦跳,两条腿走路。
上下楼梯抱起来,不要长时间上下坡走路
控制好体重,不要过胖。
每天按摩患肢肌肉
我不是追求完美,我只是希望找到最适合的治疗方法,如果说只能通过手术治疗那就动手术,手术费都交了,就是想看看能不能保守治疗不用花冤枉钱狗子不用受罪。也有说通过按摩改善情况的,每天把狗抱起来颠几下也有可能是有用的,都说不准,所以说是不是可以先保守治疗一下,不行再选择手术呢!
于博
执业兽医师
1.****单 一天两次 一次一粒
2.*** 一天两次 一次一粒
可长期使用
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
{"573585":{"id":573585,"case_id":63711,"user_id":1734397,"to_user_id":2439561,"type":3,"content":"1.****单 一天两次 一次一粒\n2.*** 一天两次 一次一粒\n可长期使用","media":{"images":{},"videos":{},"business_params":{"prescription_id":157302}},"is_doctor":1,"status":1,"created_at":"2023-10-30 19:02:16","show_rx":true,"rx_info":{"id":157302,"rx_no":2.02310301901255e+24,"user_id":2439561,"doctor_user_id":1734397,"is_independent":0,"case_id":3188581,"pet_info":{"pet_id":413282,"pet_name":"贵宾","pet_nickname":"西瓜","pet_gender":1,"pet_birth":"1-8","pet_weight":3,"pet_vaccination_status":0,"pet_in_insect_repellent_status":1,"pet_out_insect_repellent_status":1,"pet_age_format":"1岁8个月"},"diagnose":"髌骨内翻","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2023-10-30 19:01:25","updated_at":"2023-10-30 19:02:16","deleted_at":null,"from_source":"online","template_id":264,"drug_data":{"0":{"id":125063,"prescription_id":157302,"doctor_user_id":1734397,"product_id":777,"product_sku_id":819,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":30,"number":1,"remark":"","created_at":"2023-10-30 19:01:25","updated_at":"2023-10-30 19:01:25","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":233,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-20 16:03:29","updated_at":"2024-11-23 16:34:35","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":226,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"0.5g\/50片"}},"cover":null,"thumb":"","sale_count":238,"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":"2024-11-23 16:25:05"}},"1":{"id":125064,"prescription_id":157302,"doctor_user_id":1734397,"product_id":806,"product_sku_id":848,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":30,"number":1,"remark":"","created_at":"2023-10-30 19:01:25","updated_at":"2023-10-30 19:01:25","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":86,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-21 16:22:42","updated_at":"2024-11-22 09:26:05","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":43,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"0.4gx12粒x5板\/盒"}},"cover":null,"thumb":"","sale_count":88,"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":"2024-11-22 07:23:17"}}},"drug_data_bak":{"0":{"id":125063,"prescription_id":157302,"doctor_user_id":1734397,"product_id":777,"product_sku_id":819,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":30,"number":1,"remark":"","created_at":"2023-10-30 19:01:25","updated_at":"2023-10-30 19:01:25","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":233,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-20 16:03:29","updated_at":"2024-11-23 16:34:35","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":226,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"0.5g\/50片"}},"cover":null,"thumb":"","sale_count":238,"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":"2024-11-23 16:25:05"}},"1":{"id":125064,"prescription_id":157302,"doctor_user_id":1734397,"product_id":806,"product_sku_id":848,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":30,"number":1,"remark":"","created_at":"2023-10-30 19:01:25","updated_at":"2023-10-30 19:01:25","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":86,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-21 16:22:42","updated_at":"2024-11-22 09:26:05","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":43,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"0.4gx12粒x5板\/盒"}},"cover":null,"thumb":"","sale_count":88,"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":"2024-11-22 07:23:17"}}}}}}
微信扫一扫
立即问宠医