曹力
执业兽医师
你好,狗狗家长,狗狗的片子,我刚看了一下,他右后腿的髌骨是有内脱,所以可能走路的时候会出现三腿蹦的情况,会有疼痛
为保护用户隐私不显示图片/视频
我是按压他的髋关节他会疼的叫,然后牵拉他腿的时候也会疼痛的叫
曹力
执业兽医师
因为这个片子不太清晰,不是原图,髋关节那块儿,我没有办法做评估,我只看到右侧髌骨脱位比较明显,左侧也有一点点,但没有右侧严重,髌骨内脱对于博美犬比较常见,当然最有效的办法就是去做手术治疗,保守就是去吃止痛药和营养关节的药物,但只能对症治疗
曹力
执业兽医师
狗狗应该是比较胖的,因为狗狗体重的75%是靠后腿去承重,所以体重越重这个疾病越严重,尤其是剧烈运动之后,疼痛比较明显,所以减肥也是要进行的,
曹力
执业兽医师
目前的片子来看,右侧髋关节感觉关节间隙稍微大一点,这个需要定期去拍片评估,一次拍片不能说明什么,但是从现在开始减肥和给他吃营养关节类的药物是有必要的,髌骨的问题,如果暂时不想去做手术,也可以通过吃药来减缓他的疾病进程,
曹力
执业兽医师
就是这个位置,这个片子应该是狗狗平躺着拍的,所以这里就是狗狗的右腿
为保护用户隐私不显示图片/视频
曹力
执业兽医师
我画了一下他两侧髋臼窝都比较浅,不能完全包裹股骨头,导致两侧都有半脱,所以触碰按压的时候会有点疼痛
为保护用户隐私不显示图片/视频
曹力
执业兽医师
你看这个这个是一个正常的髋关节,他的股骨头和髋臼窝都贴合的比较紧
为保护用户隐私不显示图片/视频
他是几个月前,有一次他的这根腿踩到我拖鞋上了,我也没注意,一抬腿走路给他腿往上拧了一下,然后就有时候瘸有时候正常,最近越来越严重了
曹力
执业兽医师
那目前这个情况,可以先去给狗狗吃点止痛药和关节***来减轻症状,然后你再决定考虑要不要去给狗狗做这个髌骨的手术,髋关节需要定期去拍片评估,看看有没有加重,如果吃药可以维持的话最好,因为髋关节置换手术费用比较高,狗狗也受罪
我去附近宠物医院,那个医生说是这根腿的肱骨结节和髋臼窝的骨间隙太小了,导致摩擦痛。然后我在网上买了点***,送了个宠物问诊,我给他看了看片子,他说是髋关节脱位。我感觉是不是盂唇撕裂之类的软组织损伤啊
曹力
执业兽医师
那狗狗最近有吃过一些药吗?如果需要我这边也可以给狗狗开处方药,然后你根据情况可以买上给狗狗用,
买了个消炎的,没买其他药,我打算先给他减肥,然后实在不行就给他切股骨头去……
曹力
执业兽医师
他这两个腿的髋关节都属于半脱位,那么如果他的体重一直没有减下来,也没有再用药控制随着病情的发展,有可能会出现脱位,双侧的髌骨都是有内脱,右腿更为明显,用药主要就是修复关节止疼之类的,然后用药观察呗,一个月检查一次髋关节看看股骨头有没有坏死的迹象,如果有就需要做股骨头切除,或者做髋关节置换
曹力
执业兽医师
宝贝家长你好,考虑宝贝二级髌骨脱位的情况,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、***是营养修复关节的
2、***是预防和改善关节问题的需要持续补充
3、***是缓解关节疼痛的
平时注意控制宝贝体重,不宜剧烈运动,跑动也尽量避免,一定要连续补充***和***,如果出现疼痛加重的表现就需要再给到止疼药,保持定期复查,建议每月复查一次。如果情况达到三级或者四级手术就是必须的了宝贝家长你好,考虑宝贝二级髌骨脱位的情况,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、***是营养修复关节的
2、***是预防和改善关节问题的需要持续补充
3、***是缓解关节疼痛的
平时注意控制宝贝体重,不宜剧烈运动,跑动也尽量避免,一定要连续补充***和***,如果出现疼痛加重的表现就需要再给到止疼药,保持定期复查,建议每月复查一次。如果情况达到三级或者四级手术就是必须的了
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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