咨询描述:症状描述:猫咪得了猫癣 猫癣处剃毛 现在皮肤发黑 猫癣治疗一月后周围皮肤开始起大量白色皮屑 摸起来很硬 揪掉猫后皮肤发红 伍德氏灯照没有绿点
患病时长:1个月
回复总结:猫咪猫癣处皮肤发红考虑继发细菌性感染引起。治疗建议给猫咪口服抗真菌的药物,同时配合药浴进行清洗,药浴频率建议刚开始一周两到三次,后面根据恢复的情况再减少洗澡的频率。因为猫咪猫癣感染的同时还存在一定的细菌性感染,所以还需要再配合给猫咪使用消炎药治疗,同时可以喂食增强皮肤抵抗力的药物帮助肌肤重建皮肤屏障和恢复。平时做好环境的消毒处理,阳光比较好的情况下可以适当带猫咪晒一下太阳。
问题大致一样,细节不同?
苏鹏
执业兽医师
您好,看到您描述的这种情况,我还是要了解一下猫咪,到目前为止使用过什么药物治疗?
是否只是外用的一些药物有没有口服或者是进行药浴香波清洗?
虽然说猫咪,目前皮肤病灶用伍德氏灯进行检测,没有发现荧光绿,但是也不代表猫癣已经得到控制,因为这种情况提示真菌孢子可能并不在毛干而是在毛囊里面。
特别是猫咪目前皮肤情况来看,应该还有继发一些细菌性的感染。所以说皮肤会出现明显的发红或者是皮肤损伤是比较严重,至于部分病灶出现发黑,主要还是皮肤长期炎症的一种表现。
正常情况下恢复期会有大量白色的皮屑这是皮肤代谢加快的一种表现。但是目前皮肤看起来比较红没有新生的毛发,所以这种状态并不在恢复期,如果现在其他部位的皮肤还在继续爆发新的那么这种情况,就需要全身性地进行用药,包括口服和外用的药浴。
治疗有一个月了
目前在服用**和****以及****。
外用****擦拭后喷**。
最近之前是一周一次药浴用的***。同时一周有用一次***。
病情一直不好,虽然之前猫癣的患处开始长毛,但是猫癣周围发红,猫癣四周开始起大量白色皮屑,用伍德氏灯照看的很明显的白色东西。揪掉后皮肤发红,目前有3处。
苏鹏
执业兽医师
因为猫癣的恢复跟他们自身的抵抗力是有非常大的关系从您提供的治疗方案来看是没有太大问题,但是选择的药物的种类以及品牌可能对于治疗的效果都会有一定的影响。
比如****有很多种牌子,一般进口的效果会比国产的效果会更好,一般猫吃****是建议口服一周停药一周再进行口服。这种脉冲疗法效果可能会更好。
还有药浴的香波也建议更换成**或***或**抗菌抗霉香波可能会更好,一般对于在感染吃药浴,一般一周至少会安排两到三次这样才能够,有效地帮助清洁皮肤上面残留的真菌孢子。病灶周围的毛发也应该清理剃干净,因为从图片来看,上面有残留的分泌物,这些都是非常容易利于细菌的繁殖。
然后家里面也需要考虑使用含有次***的消毒剂稀释之后进行消毒处理,这样对环境中的真菌也能更好地控制。
猫癣周围的大量白皮屑是什么病,该怎么处理,因为伍德氏灯照没绿点和猫癣处还不一样?
还有消毒用****和紫外线灯可以吗
苏鹏
执业兽医师
这种大量的白色的附着物主要考虑是感染形成的,大部分是由于一些细菌感染,所以说可以使用**抗菌喷剂进行外用。所以期间要考虑他们是否能够舔舐到这些病灶。
伍德氏灯只是排查毛选的一种方式不能作为确诊的工具,因为如果真菌孢子在毛囊里面他就没办法照出荧光绿或者真菌孢子没有产生足够的色氨酸他也没有办法照射出来。
因为消毒的范围比较大紫外线没有办法,每一个角落都能顾及到,而且不能把猫暴露在紫外线里面这样对人和猫都会造成不同程度的损伤。****这种消毒剂对真菌孢子是没有太大作用的。
苏鹏
执业兽医师
之前也提到猫癣会根据猫咪的体质和抵抗力来决定恢复的时间,有些抵抗力比较好的感染比较轻微的及时控制住之后,一般7天左右就能控制住14天左右就开始长出毛发,但有些严重的可能需要治疗2-3个月,甚至有些会更长。
所以对于猫咪目前治疗的情况建议治疗是要口服抗真菌的药物进行治疗,同时要配合药浴进行清洗,药浴的频率建议,刚开始一周两到三次后面根据恢复的情况再减少洗澡的频率。
因为考虑到皮肤目前还有存在一定的细菌性的感染,所以说再配合一些消炎药,比如*********早晚一次。
其他可以在辅助一些******和鱼油可以增强皮肤抵抗力帮助肌肤重建皮肤屏障和恢复
平时就做好环境的消毒处理,平时阳光比较好的情况下可以适当的晒一下太阳。可以隔三差五补充一些******。
处方里面有消炎药和抗真菌的药物以及帮助皮肤恢复的复合维生素B溶液更加好吸收,还有增强抵抗力的猫****,还有**的全效抗菌的香波。(抗真菌的药物可能会对猫咪的肝脏会有一些影响,所以期间也是要多注意观察,他们生长情况以及食欲和排便的情况。)
这是药物可以进行参考使用。
建议用药一周之后进行复诊,到时候根据猫咪的情况再进行调整。
苏鹏
执业兽医师
如果是选择人用的**,如果掌握不好用量,这样可能产生的作用就不太大,也容易增加胃肠道问题的风险。
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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