咨询描述:三个月英短,未绝育,有猫癣,伍德氏灯照有反应,已经在用药 目前有好转,但是近期又出现了几处掉毛(带皮屑)伍德氏灯照没有荧光,请问是什么情况
图片中是我剃掉了毛并清理后的样子
回复总结:猫咪猫癣感染好转时出现掉毛,可能是真菌感染的前期症状。建议给猫咪口服治疗猫癣的药物,同时外喷治疗猫癣的喷剂。平时需要每三个月给猫咪做一次体内驱虫,每个月做一次体外驱虫,做体外驱虫可以很好的降低猫咪感染猫癣的风险。真菌感染周期比较长,一般需要用药一个月左右才会好转,用药期间最好给猫咪佩戴伊丽莎白圈,防止猫咪出现抓挠或者舔舐症状。
问题大致一样,细节不同?
刘文飞
执业兽医师
根据您讲到的详细症状,我初步分析猫咪是猫癣的症状,但仅仅根据目前信息还不能做出进一步的判断。我还有几个问题需要向您核实一下:
1.您家猫咪3个月大了,体重大概是多少;猫癣确诊了,目前在用药也有好转,但是又发现了新的部位掉毛毛,用伍德灯照了没有荧光绿,但是又皮屑,猫癣是真菌感染,是全身症状,刚刚开始掉毛毛有皮屑的部位没有荧光绿是因为刚刚发病,症状不明显,在有就是进入春季以来猫咪也会生理性的脱毛毛,掉毛毛,有皮屑是正常情况,正常梳理毛毛,清理环境卫生
2.您养猫咪大概多长时间了,猫咪平时都吃哪种食物,最近有没有给猫咪换过食物或者吃过什么特殊的东西,有没有呕吐腹泻的症状;
3.猫咪吃饭,喝水,排便,排尿,玩的状态怎么样
4.猫咪有没有出现咳嗽,打喷嚏,流鼻涕的症状,您正常有没有给猫咪用过什么药;
5.猫咪目前精神状态怎么样,有没有吃东西,喝水,猫咪有没有接种过疫苗,做过体内体外的驱虫。
6.猫咪居住的环境有没有突然降温,猫咪趴在垫子上,还是地板上
以上这些情况您仔细回忆后详细的描述给我,对我给宝贝目前情况做判断以及制定治疗方案有非常大的帮助,感谢您的配合。另外,把您家爱宠的信息补充完整,特别是年龄、体重」,待会儿咱们沟通后如果涉及用药建议,方便为宝贝开具处方。(若您需要离开本诊室,稍后可以到官方微信公众号“蘑菇宠医”内找到问诊订单继续和我沟通。)
1体重在1kg多,猫猫到家快一个月,平时都吃的比较好的猫粮,没有腹泻和呕吐 。吃饭,睡觉,排便都很正常,偶尔会打喷嚏。之前治疗猫癣吃过口服的****和外用***。精神良好。平时喜欢睡地板。坐标广州,前期天一直在下雨,有降温,比较潮湿
刘文飞
执业兽医师
您好,猫咪主人,收到您的详细描述,根据您的描述结合您发的猫咪患部的照片来看,猫咪新发现脱毛掉毛毛的部位有可能是真菌感染的前期症状,,症状不明显,所以看不到荧光绿,在有就是生理性的掉毛毛,猫咪是真菌感染,也就是猫癣,需要给猫咪口服治疗猫癣的药,外喷治疗猫癣的喷剂,一般需要每三个月给猫咪做一次体内驱虫,每个月做一次体外驱虫,做体外驱虫可以很好的降低毛病感染猫癣的风险。真菌感染周期比较长,一般需要用药一个月左右才会好转,猫咪皮肤病的症状就会有所好转。用药期间最好给猫咪带上伊丽莎白圈,再把猫咪的指甲修剪平整,防止猫咪出现抓挠,舔舐的症状,会有利于猫咪皮肤的早日康复。猫咪住的环境需要彻底的大消毒,以后每周消一次毒,猫窝拿出去晒晒太阳,有助于杀菌消毒,家里有没有老人和小孩,如果有老人和孩子建议不要让他们接触到猫咪,因为猫癣是真菌感染,会传染给人,老人和小孩皮肤免疫力抵抗力比较差,比较易感,所以不建议接触,您自己照顾完猫咪也需要吸收、消毒,以上建议您可以参考一下。
我每天都在消毒清理环境。可以继续使用***软膏吗?以及如何判断康复?
刘文飞
执业兽医师
您好,***您继续给猫咪用,康复以后皮肤恢复的和之前一样,正常饲养一个月毛毛就会自然长出来
刘文飞
执业兽医师
您好,给猫咪吃宠物专用的治疗真菌感染的药就可以,根据猫咪的情况,我给它开个处方。处方里面的1.******片,对猫咪真菌感染引起的的炎症作用效果比较好,按猫咪的体重用药;2.******喷剂,对猫咪皮肤消炎抑菌,效果比较好,您可以根据需求自行选择购买
刘文飞
执业兽医师
您好,******片不良反应轻微,常见胃肠道反应,较少发生肝炎和皮疹。您家猫咪比较小,只有三月龄,我处方上药量是减半的
刘文飞
执业兽医师
您好,可以使用,用了***剂就不用我处方上的******喷剂了,两者二选一,再配合用口服药
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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