請問這樣的狀況需要動jps手術嗎 

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請問這樣的狀況需要動jps手術嗎

文章婷婷 » 2005-04-03, 12:29

我的狗狗四個月大吧,檢查有chd的問題
大墩的醫生是建議我動jps手術
他說超過四個半月的話,他們就不動這手術了
但是麻糬的情況算輕微的!
96、97度吧還有一個是0.48的樣子
大家覺得有需要動這手術嗎?還是保守療法即可
謝謝喔^^"
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婷婷
 
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文章doggydc » 2005-04-03, 15:09

Dear Ting Ting:
By reviewing your dog's x-ray,Yes, your dog has mild sign of CHD. As all the friends said in this website, I don't recommend to perform JPS in this case(Amy already post my explanation on her answer). You can follow the conservative management method/information in this website on your dog(please try to contact Amy, she will give you a lot of help). I like to re-x-ray of your dog in one to two months later and if the joint laxity is getting worse, I prefer to recommend to do TPO instead of JPS. At least, the TPO if performs on the right timing which can prevent the continuous subluxation of joint although it can't really get rid of 2nd DJD(may can be reducing or delaying )of CHD dog when they are getting older. If there is no any or significant joint laxity changes in 1-2 months x-ray, the conservative management will be good to preserve your dog's hip.
Feel free to ask your question, we will try our best to help.

, By the way, the number 0.48 which should be the DI(distraction index) by PennHip measurement. The DI only tell you your dog has how high the possibility of CHD in the future. It can't be use as a diagnostic nuumber to tell you that your dog is going to have mild , moderate, or severe CHD. By the Norberg's angle and OFA x-ray, we already know your dog has mild joint laxity which there is a high chance your dog is going to have CHD problem. If you know how to raise and take care of your dog right in the fast growing(3 months to 12 months) stage and know how to maitain the CHD hips, you can reduce the severity of CHD on your dog by conservative mathod. You dog is going to have a good and happy life.
Dr. Lee
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文章amy » 2005-04-03, 17:54

譯文如下:
婷婷你好
從狗的X光片中,我們可以看出你的狗有輕度的CHD,就如這個網站的朋友說的,
以你的這個案例我不建議你執行JPS手術(AMY以已經很清楚的在他的回答中說明我的看法了)你可以依照網站中的資訊和方法為你的狗實施保守療法,(你可以和AMY連繫,我相信他能給你這方面的協助)
我希望能在實施保守療法1-2個月後再看看狗的X光片,如果關節的鬆弛持續進行,我寧可建議你選擇TPO手術來代替JPS,至少TPO手術如果實施的時機正確的話,能協助改善關節鬆弛的進行,雖然在CHD的狗年紀大的後仍無法確實擺脫,(也許可以減少或延緩)二次性退化性關節炎的發生,如果在未來1-2個月後的X光顯示關節的鬆弛沒有太多的改變,那麼保守療法對於你控管狗的關節是很好的方法

順便說一下,那個0.48的數據應該是Penn hip測量的鬆弛度,
DI值只是告訴你狗未來有CHD的機率,
這個數據並無法告訴你狗的CHD將會是輕微,中度或是嚴重
然而根據角度的測量和OFA的X光片,
我們就已經知道你的狗有輕微的關節鬆弛,
這已經說明了他將會有CHD的問題,
如果你懂得如何在快述成長期(3-12個月)照顧好你的狗,
並維持好他的關節狀況,你可以用保守療法控制住CHD嚴重的程度,
你的狗將擁有快樂,好的生活

美國愛屋動物醫療團隊 李學文醫師
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