猫咪躺下和站起疼痛的情况,后腿不敢迈步
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咨询描述:从五天前开始,出现躺下和站起疼痛的情况,后腿不敢迈步,到当地宠物医院进行了一系列检查后并未确诊,目前开了止痛消炎药一天一粒,吃药之后疼痛症状明显好转了三天,今天只给了半粒药后又明显坐卧难安,不敢抬腿,出现疼痛症状。平时行走正常,吃喝正常,精神良好,能使用猫抓板,但就是躺下和站起会疼痛。当地宠物医院给摸了股动脉,可以摸到股动脉,可以排除血栓情况。也拍了x光片做了生化血常规和bnp
问题大致一样,细节不同?
于博
执业兽医师
好的,是有拍片子是吗?一般这种情况是髋关节,腰荐椎神经疼痛。属于退行性关节疾病。如果做核磁应该可以看出来病变。只能属于止痛药***。不是心脏问题
这是在医院做的检查结果,除了止痛药维持之外还能如何治疗啊,属于关节炎的一种吗?如果按关节炎治疗,比如说喂点***和维b会有好转吗
为保护用户隐私不显示图片/视频
于博
执业兽医师
好的,片子侧位髋关节有关节软骨磨损,表面不光滑,会引起疼痛。
正位片第13腰椎骨刺骨质增生可能会引起疼痛。
血磷升高,建议进一步检测一下SDMA早期肾衰看一下,排除肾脏疾病。
这种关节疾病属于退行性病变,没办法治疗,只能使用***和日常饲养减缓疾病发展
止痛抗炎药物缓解症状。
为保护用户隐私不显示图片/视频
于博
执业兽医师
1.控制体重,不要肥胖,可以饲喂之前食量的百分之80的食物
2.不要上蹿下跳
3.不要剧烈运动
4.长期饲喂***
5.不要补钙喝饲喂高钙食物
1.就是只能减缓病情发展,但无法彻底治愈了是吗,那如果今后半夜疼痛难以入睡的话只能喂止痛片吗,长期喂止痛片的副作用会不会太大,建议的喂食频率是多少呢?2.另外他这个生活结果的肾功能看起来没有特别大的问题,还是排除不了早期肾衰吗?3.生活结果显示的白球比偏低有没有其他说法呢4.目前止痛片喂的是****,有没有其他推荐呢
为保护用户隐私不显示图片/视频
于博
执业兽医师
好的
1.是不能治愈的,只能药物控制
疾病发展到后期很严重时有的动物就站立不起需要轮椅运动,每天2-3次止痛针或者药物的
目前先一天一次,按正常剂量只要能维持不疼痛就可以,个别肝肾有影响,可以每半年检测一下生化指标。
2.生化肌酐和尿素氮目前是正常的,党肾脏损伤百分之40时候它们才有异常,但是血磷是升高的也是肾脏指标一个项目,所以建议进一步检测一下SDMA它是在肾脏百分之20损伤时就有反应。
3.生化白球比低,是因为球蛋白升高,属于长期慢性炎症的结果。还有其他止痛药物,稍后给您开个处方。
好的谢谢您,如果目前一直吃药控制减缓速度的话,他到完全不能行走的程度还能坚持几年呢,这个***康就先服用五天后停药吗?
于博
执业兽医师
好的,药物正常普通疼痛是5天一个疗程,如果是骨关节的问题,只要疼痛就需要使用。
疾病进展还是和日常饲养和养护有关系的,如果维持好了一直到最后就不发展。如果放任不管那可能几个月就会瘫痪疼痛
关节***和***洛同时服用吗?这两个药的服用频率是怎样的,先服用哪个?
于博
执业兽医师
好的,这两个包括您那两种药物可以一起使用
您那个是***养护软骨的,维生素是养护神经的
关节***时中药的治疗养护关节炎的作用
***康就是止痛的,只要不痛就可以停药
其他3种长期使用
好的谢谢医生,如果不吃**的话,*** 可以吗,我们这边医院给开的这个止痛药
于博
执业兽医师
可以的,选择一种止痛药就可以,只要不是惨叫或者精神不好不爱吃饭,就不用吃
那这个***关节***,我们这边宠物诊所没有售卖的,有其他可以代替的吗,比如***的***之类的,******有必要喝液态的吗,有没有推荐的***和复合维b
为保护用户隐私不显示图片/视频
于博
执业兽医师
可以使用***,作用机理一样的。
***比如萨莎、**狗或者***都是不错的。
***就基本差不多使用一种就可以。
于博
执业兽医师
1.*** 一天两次 一次两粒
2.*** 一天两次 一次3毫升
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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