藍哥CHD完整敘述-2(完)

[oen]

2005.08.03 藍哥24KG
我到高雄劉醫師那拍X光片，劉醫師說藍哥CHD嚴重指數屬中上，建議藍哥吃〝健骨樂〞，每天吃1顆(25KG以下)，可以吃2個月停一個月，並且注意藍哥的體重，盡量保持24KG。吃含鈣量較少的飼料。
從此藍哥每天吃1 顆，連續吃3個月，3個月後改吃25KG以上，至今一樣每天都吃1 顆。飲食我讓他改吃莫比大型成犬飼料(含鈣比例較少)，因要控制體重，我不敢讓他吃太多，每每吃飯時他常用恐怖的眼神看我，像要把我吃掉一像。(跟平常完全不一樣)
2005.11.09藍哥29KG，看來體重控制失敗了。由inudidi麻得知有減肥飼料自2006.02.10改吃減肥飼料。現在的藍哥吃完飯還會打嗝哩(但他當然還是不滿意)！
2006.07.06藍哥去結紮並拍X光片，醫生告訴我，他很嚴重，若不是因為有吃健骨樂，他早不能走了，因為他的股骨窩長了一些組織，股骨頭已摩擦到那些組織，建議我若無法負擔人工關節手術可考慮〝股骨頭切除手術〞。

過去我常讓他和另一隻小拉嬉戲、追逐，而忽略了它的嚴重性，未來我會嚴格控制。
目前比較苦惱的是我家的地板是大理石的，要鋪設木地板亦或是防滑墊確實困難......

一星期後將改吃Cosequin DS，請問可否建議藍哥未來用藥的方式？

拉哩拉渣、枝枝節節講述一大堆，廢話也一堆，希望不會造成您的負擔才好，只希望自己能盡量描述，讓醫師多一些了解。非常感謝！

[doggydc]

As I mentioned in last answer, You just have to use conservative management to take care of your dog by enhancing the rear leg muscular strength and controlling the pain if it is existing. He is going to have a good quality of life. You don't have to worry about he can't use his legs once both hips are luxated completely. As I always said there is no CHD dog can't walk no matter how severe the condition is. We can help you to take care of your dog to reach the condition you are satisfied.
For the question-how to use Cosequin-DS, please follow the instruction on the bottle or you can talk to Amy,
Body weight control is the number one factor for CHD dog. Please try to keep his body weight 15-20% less than normal.
Just forget what you see on x-ray now. Pay more attention to his functional ability. Make sure he is pain free and happy. I have some patients have more severe hip problem than your dog and all have a good quality of life under conservative management.
keep in touch.

[oen]

李醫師：
未來我會更加嚴格的實行保守療法，並且盡量提供較好的生活環境品質。非常感謝您！

可否再請問，依藍哥的狀況，需要多久照一次X光片來了解它的狀況？謝謝！

[doggydc]

I like his hip condition to be rechecked at 2 years old(12/06).

[oen]

李醫師，非常感謝您！
目前藍哥與我已建立良好的默契，相信藍哥能感受到我的心，我會加油的。
也謝謝狗友會的每位關心藍哥的朋友。謝謝。