徐灿
执业兽医师
大体上都是在正常的位置上的,所以这种情况要考虑可能是髋关节炎,但是我需要问一下,没有更清晰的片子了吗?从照片上来看,好像是比较老式的那种洗片子的那种X光机拍出来的。清晰度不是特别足,但是却能够确认,肯定是股骨头在髋关节里面。还是在正常位置上,只不过拍的时候狗狗是在扭曲的状态。
有没有今天的行走的视频?狗狗在边上吗?如果在边上的话,可否拍一段视频过来?
它现在进去睡觉了,明天我拍一下。这个片子也是半个月前才拍的,是电脑上拍下来给我的。现在就是抱着它坐我腿上,它要起来到旁边的时候脚踩我大腿的时候能明显感觉它右后腿使不上劲,然后在家里有时候进进出出还会跑起来,目前没有一拐一拐的症状,因为腿的原因也给它做了一下生化和心脏检查,医生说它心脏那个指标1600,说正常不能超过800,所以开了一些药,我发图片麻烦徐医生看一下
为保护用户隐私不显示图片/视频
徐灿
执业兽医师
这个是收费单子,所以没有显示结果,我不太好确认,不过对于这种情况来说,建议是给他用一点抗生素,还有就是止疼药物以及中药制剂进行口服,然后观察一周左右,看一下是否有缓解比较稳妥。
至于说这些药物,我不是很好给出建议,只能说综合考虑,他的问题应该是髋关节和股骨头的问题。
当时还是院长看的,然后后面几次我过去给她打消炎针,小医生也都是这么说髌骨脱位,还说好不了的,只能养着,以后再也不能让它出去遛不能让它后腿用力,说如果又开始痛了就打针,不严重就再开消炎止疼的药吃。现在它是缓解了,就是我不知道是不是就像那些医生说的一样就是这样了,以后就是缓解,没办法治好了
徐灿
执业兽医师
对于这种情况来说,大概率可能后续也确实需要服药,但是建议是先用止疼药物镇痛,然后后续的话,再用中药制剂长时间口服,我帮你开了个方案,你可以参考使用,建议是先按方案用药,两个星期,然后回来复诊,告知一下效果,因为它的位置就是在正常的位置上,但是行为上应该还是髋关节疼痛。
这些是一个月的药,但是建议是先用两周,然后回来复诊,看一下用药之后是否有较为明显的改善
徐医生,当时这个院长在跟我说它有髌骨脱位的时候看的是第二张横位的片子,指着关节跟我说的脱位。我家里给它买了莎萨***可以一起吃吗?还是什么都先不要吃,就吃你开的这个,然后要怎样才能知道它好多了呢,因为打了5天的消炎针和止疼针和吃了7天的消炎止疼药已经有缓解了,再吃消炎止疼的会不会吃的时间太长了
徐灿
执业兽医师
需要和你说一下,第二张片子,他没有脱出,是这样的,拍这张片子的时候,狗狗的身体是偏移的,所以说它呈现出一上一下的,你可以细看,那个盆腔是向外呈现的。而且股骨头在关节窝里面,它周边还是有一圈低密度影的,就证明还在里面。
他什么时候打的针呢?家里有***,那就继续吃,可以去掉我上面帮你开的方案,然后止疼的药物,不能长时间使用,如果说最近半个月有用过,那最好先不用,只用中药制剂预防和缓解就可以,当然肯定没有直接用止疼药物效果那么强
1月15号开始打了5天的消炎和止疼针,5天后继续服用了7天的消炎和止疼药片外加治疗心脏的药,沙萨是我自己给它买的着吃的。我就是纳闷为什么没有脱位要说脱位还是里面的医生都这么说的。那我先配中药给它喝是吗?那这个是不是也是以后都不能出去溜哒不能跑了
徐灿
执业兽医师
读片的话,每个人都不太一样,我就不确定当时的情况了,这种情况后续的话,加点中药制剂给他口服,多吃一段时间,中药的话很慢,然后***家里头有就自行按照说明书吃就行,止疼的药物和抗生素可以先别用了,他的年龄很大了,长时间用的话,肝脏受不了。
后续的话可以让它正常的行走,正常的溜达,保持正常的运动量就行,但是他如果不愿意走,或者是跛脚了,给他抱回来就行,那个时候就证明他确实不想动了。
好的,就是***是吗?我来下单。这个可以长时间吃是吗?
徐灿
执业兽医师
对,他能吃好久,实际上,主要还是因为他是小型犬,用药量不多,用药量的话,实际上都是按照体重算的。
一盒能吃半个多月,先吃半个月,然后看一下效果,也不要一次性弄太多,先配合着***,然后一块吃1到2个星期,看一下症状方面是否有所缓解即可。然后止疼的药物可以先停止,单独用中药制剂和***,可能最开始的时候症状会加重,因为没有止疼药物,但是这个是正常的。
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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