有關寬關節問題

[mekey]

醫師.您好：
我們家有一隻可愛的狗兒子，名叫Bohdy，是一隻黃金獵犬，今年以3歲半了，最近看了Yellow的腳步後，才讓原本因為沒辦法....只好放棄的我們，心中燃起一絲絲希望與盼望，我們家的Bohdy情形與書中所提及Yellow的情形很類似，只是我們是發生在比他在更早一點的時間，當時我們可真是有苦口難言啊！尋訪各大名醫，得到的答案皆不相同，甚至還是我們自己找資料告訴醫生這是寬關節發育不全..........，原本在Bohdy約8個月大時要進行手術，後來不知是醫生們沒把握，還是....，就臨時被通知帶回已被打了鎮定劑的Bohdy，現在回想起來真是還好沒挨那一刀....。
從以前的x光片看起來的情形，Bohdy的左腳較嚴重（幾乎完全跑到外面了），而右腳還有一部份的骨頭在窩裡，但這已是他1歲左右的判斷，目前我們三不五時有給他吃所謂的葡萄糖胺.鯊魚軟骨的保健藥品（是美國赫滋）好嗎？
而Bohdy的體重只有26公斤（不知是否他自己刻意控制的，就是吃不胖，從1歲到現在都維持這樣），而他的後腳骨頭用肉眼就可看得非常清楚，算是肌肉萎縮嗎？還是本身太瘦？有寬關節問題這樣還需要增加體重嗎？現在與以後（可能年紀更老時），換置人工關節有什麼建議呢？Bohdy運動起來像一尾活龍，不會有不太想走路的情形，是因為狗狗只要有的玩就會忘記疼痛嗎？還是他的情形還算可以（我都是這樣安慰自己的）所以才能動？有沒有其他的建議呢？
謝謝您～祝平安.喜樂.

[Jeff Wang]

If you can give me the most update 2 view radiographs and video files of walking condition of your dog, I will give you the best recommendation. The conservative treatment won't hurt anything to your dog. And your dog is over 3 years old already. The hips' condition should be more stable now. (it doesn't mean it won't get worse)
Because I did not see the dog, I am not sure the dog is just too skinny or has muscle atrophy.
Thank you,

Jeffrey Wang DVM MPH

[amy]

If you can give me the most update 2 view radiographs and video files of walking condition of your dog, I will give you the best recommendation. The conservative treatment won't hurt anything to your dog. And your dog is over 3 years old already. The hips' condition should be more stable now. (it doesn't mean it won't get worse)
Because I did not see the dog, I am not sure the dog is just too skinny or has muscle atrophy.
Thank you,

Jeffrey Wang DVM MPH

譯文如下

如果你能提供2張合乎標準的X光片和狗行走的影片,我可以提供你更好的咨詢意見,保守療法不會對狗有任何傷害,而且你的狗已經超過3歲,髖關節的狀況現在應該更穩定了,(但不代表就不會惡化)由於我沒看到你的狗,所以我不知道是太瘦還是有肌肉萎縮的情形

美國愛屋動物醫院 王勢爵醫師

[哇細黑寶]

醫生:
我家黑寶四個月大,前幾天檢查有CHD,也很明顯他都用力在前腿,後腿感覺沒有力氣,但這樣長期下來把重力壓在前腿不會造成前腿的負擔或是引起一些前腿的毛病嗎??

[doggydc]

Once the dog shift his body weight to front legs due to CHD problem, he is goig to have front legs problems evantually. The best way is taking care of the CHD by either medical or surgical method to build up the strength of rear leg muscle and relieve the overload of using on front legs. We do recommend all CHD dog to keep the body weight on slim side is trying to reduce the problem on front legs too. The chondroprotective medicine also will protect the joints on front legs.
Dr. Lee