咨询描述:柯基,母,未绝育,四岁半。
白天出门奔跑和走路,比平常运动量大,晚上回家后腿无力,走路有点瘸,但不像痛的样子。
问题大致一样,细节不同?
孔程
执业兽医师
根据您讲到的情况,目前还不能做出进一步的判断。我还有几个问题需要向你核实一下:
1. 吃喝排便排尿正常吗?
2.是一条腿还是两条腿瘸
3.有突然鸣叫吗?
4.运动量大是跑了还跳了,有急转弯吗?
以上这些情况您仔细回忆后详细的描述给我,对我给宝贝目前情况做判断 以及制定治疗方案有非常大的帮助,感谢您的配合。
1.吃喝排便正常。2.感觉就是整个下半身有点没力气,两条腿走路就一瘸一拐,但不是跳步,就是感觉无力。3.没有鸣叫。4.奔跑,跳不太多但也有,有转弯
孔程
执业兽医师
这个情况有两种可能
1.是腰扭了
2.是膝盖疼,可能有韧带的拉伤
我怀疑膝盖韧带拉伤的可能性更大
但她的样子也不像痛,不然会叫的吧?而且刚回家的时候还好,现在就感觉严重起来了。需要考虑柯基高发的腰椎间盘突出问题吗……很担心这个
孔程
执业兽医师
剧烈运动后,膝盖的十字韧带,出现拉伤或者断裂的可能更大,但是腰部问题也有可能
这样的话吃什么药,做些什么措施比较好?她现在不愿意动去医院不太方便去
孔程
执业兽医师
可以吃药看看情况,如果吃三天有效果就继续吃,不行就上医院检查一下
***一天一次一次3分之2片,吃五到七天,如果呕吐拉稀就停药五天
***一天两次一次一粒吃两周看看情况
***是什么药?我今晚给她喂了***和一粒***康这个可以吗?
刚刚又观察了一下发现左后腿不太愿意触地,右后腿好像好一些。这样是考虑韧带拉伤或者撕裂吗?这两种行为的表现是什么?如果是韧带拉伤或者撕裂的话一定要进行手术吗?
孔程
执业兽医师
他俩的前期表现是相同,
后期拉伤会恢复,韧带撕裂会越来越严重
手术是根据你的情况需要来定的,一是手术费用高
2是有手术失败的风险,这个手术难度大
确诊需要上医院检查x光,摆位要正确
如果不手术的话有其他保守治疗的方法吗?使用外固定支架方法是可行的吗?她这个情况需要观察多久,还是说明天就直接带去医院检查比较好?
孔程
执业兽医师
这个情况不上医院检查在家观察3到五天
上医院检查确诊更好,
手术外支架好像没有用
如果选择手术的话费用大概在多少?恢复大概多久?预后怎么样呢?
孔程
执业兽医师
手术费估计需要一万多当天,后期恢复一个月左右,预后不好说,手术难度比较大,比正常骨科手术失败的概率大
如果是韧带问题的话我现在通过自己触摸她的关节之类的可以感受出来吗,这种有没有可能是肌肉拉伤之类的
孔程
执业兽医师
拉伤也是有可能的,如果是拉伤用药3到五天会有改善,
你在家摸腿没有用,这个需要有专门的手法,和体位
今早起来好像情况比昨天好一些,吃喝精神也没问题,走路看起来也正常多了,我上传一个视频您看看这样是不是可以排除韧带问题?
为保护用户隐私不显示图片/视频
好的,今天一天白天走路感觉都正常,各方面也都挺好,谢谢医生,我再观察观察
孔程
执业兽医师
非常感谢您对蘑菇宠医的信任。如果我的回答能够帮助到您,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。 后续宠物有其它问题,您可以到“蘑菇宠医”官方微信公众号继续向我提问
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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