咨询描述:品种:家里老人养的狗,买的时候说是金毛和拉布拉多的串,但是现在属于四不像,品种说不上来了,具体长相见图1图2。
症状描述: 四肢无力,无法站立和行走。
患病时长:三天前突然发生的,在附近的宠物诊所打了三天营养神经的点滴。
医院检查:去了离家近的宠物诊所做了毒检没问题,拍了片子附在后面了,医生说椎间隙狭窄,可能是脊髓炎。但是那家诊所太小了而且检查一顿最后还不能确诊,说的还是“可能”让我很不放心他们的水平。
想求问一下医生,这两个片子能看出来是什么病吗,下一步我应该指导老人怎么做呢,有用药方面的建议吗,多谢
问题大致一样,细节不同?
孙厚福
执业兽医师
您好,我已收到你的咨询,为了更好诊治,我需要近一步了解宝贝情况。
1.片子看胸椎和腰椎有增生压迫神经
2建议配合针灸和激光治疗
3.同时配合关节口服药物,另外修复神经药物
4.如果有疼痛反应可以配合止痛药
5.平时需要做一下四肢按摩避免肌肉萎缩
除此之外,宝贝目前的症状来讲,希望主人你仔细提供给我。方便我更好的分析宝贝的病情,并给出更准确的诊断和保守的治疗建议。感谢你的配合。
孙医生您好,感谢孙医生详细指导。狗狗具体症状是,三天前无法站立无法行走,迅速领去附近诊所,在诊所打了几天的营养神经的药后,今天下午领回了家中。目前的状态是,他的前腿比刚发病的时候好一点,可以发力但还是不太能站起来,后腿完全发不上力,和几天前发病时候没太大差别。目前狗狗状态良好,进食进水没问题,精气神也挺正常的。
针对孙医生提到的几条,我还想详细咨询您一下。1. 增生压迫神经可以确诊的话,我们还需要去医院查脊髓炎吗,您觉得有必要吗? 2. 针灸和激光治疗,是不是我们不能在家治疗呀,应该需要找相关医院是吗,一般应该怎么找这种医院呢? 3. 关节口服药物和修复神经药物您有推荐吗?因为我自己本身不养宠物对这些不太了解,老人更不懂了,想求问一下医生的建议。 4. 狗狗会哼唧,是不是可以推断出他疼呢?(我确实不太懂)如果不是的话,我要怎么判断他是不是有疼痛症状呢? 5. 四肢按摩医生觉得,我们应该可以在家做吧?有一些专业的手法我们可以学的吗?
多谢医生耐心打字和详细的解析
孙厚福
执业兽医师
1.目前片子看已经看到增生会压迫神经,如果不准备手术暂时不需要做CT和核磁共振检查
2.针灸和激光可以可以看看当地是否有中兽医
3.可以配合口服***,同时配合***,另外配合止痛药***
4.正常轻轻按摩一下四肢就可以避免肌肉萎缩
宝贝家长你好,考虑宝贝的情况,我给宝贝开具了一个处方,你可以根据实际需求自行选择购买。
1***早晚各一粒
2.***每公斤体重2mg一天一次
3.***早晚各一次
4.关节处方粮
你可以点击查看详情按钮,进入处方页面查看药物使用说明。
(养护建议)
孙医生您好,非常感谢您详细的解答,我还想问您一些细节问题。
1. 医生您建议手术吗,我们不太了解其中的利弊。如果按您要求吃药并且进行恢复锻炼的话,可以痊愈吗?或者说,可以再让他站起来走起来吗?老人现在的目标就是不想让他瘫痪,想让他还能正常行走正常生活。
2. 止痛药您推荐的是欧博方***,想问一下,我们已经从诊所买了7天***,我们需要现在换成您的这个药吗?或者7天后换成您的药吗?
3. 朋友强烈推荐我一个叫 ***舒节利***的药,您觉得这个药他有必要吃吗,对症吗?
4. 现在购药直接点击您的处方下面立即购买就行,那如果后面还行复购这个处方还生效吗?
多谢孙医生[抱拳]
孙厚福
执业兽医师
1.也是看后面恢复情况如果越来越严重需要检查后再次评估一下
2.可以7后换成***就可以
3.那个药物我没有用过所以也不知道效果怎么样
4.吃完后建议过来复查一下,之后看看是否需要调整治疗方案🤝
多谢医生~感觉剩下追问次数也用不了了,特意回复感谢您一下~
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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