咨询描述:猫咪6个月大,银渐层,母,有耳螨,一直在用药,大概一个月前发现耳朵边缘处变黑,很轻微没有在意,最近渐渐扩散如图。
回复总结:猫咪出现耳朵边缘变黑的症状,可能是耳螨,也有可能是真菌感染导致的毛囊炎。针对这种情况,建议先使用具有抗菌作用的洗耳液给猫咪清洗耳道。如果洗耳液的效果不好,建议再使用棉球蘸硫磺皂水清洗发黑的部位,然后使用酒精轻擦,擦完后使用针对真菌感染的软膏涂抹,持续用药七天以上,直到猫咪康复即可。
问题大致一样,细节不同?
陆文健
执业兽医师
根据您目前提供的信息,还不能做出进一步的判断。我还有几个问题需要向您了解一下:
1、治疗猫咪耳螨使用后的是什么药物?把药物名称以及主要成分告诉我;
2、经过1个月的治疗,猫咪耳道还有没有较多的褐色分泌物,以及猫咪还有没有甩头和挠痒痒的动作?
3、您的猫咪耳廓部位发黑比较严重,我怀疑可能由真菌感染导致毛囊炎造成,您使用酒精棉球,轻轻擦黑色的部位,看看能不能擦一些黑色的下来?
4、猫咪耳廓黑色的部位有没有瘙痒?是两个耳朵还是一个耳朵?
1,外用的是**➕***,两三天一次,中间有中断后反复。驱虫用的***和***,这个月刚刚用(之前没有)。
2,有好转,但还是会有沉积物分泌,基本上2天不清理就会看见褐色膏状分泌物,有甩头和抓挠。
3,可以擦拭黑色一些下来,有部分像是沉垢,但底下的部分又擦不掉。
4,有,之前还抓出血了,耳廓红肿。
陆文健
执业兽医师
关于您的猫咪耳螨的问题:
您使用**清洗耳道后使用***应该是有效的,***含有杀虫以及抗真菌药物,对于耳螨应该有效,但目前来看,治疗一个月,还没有恢复,可能的原因是:1、***需要一天使用1次,由于***是药膏,需要将药膏挤入耳道后,要按摩耳部,尽可能让***在耳道内均匀分布;2、您的猫咪可能还不是耳螨,可能是真菌感染(和耳螨症状比较相似),治疗真菌感染,***的效果没有******滴耳液要好,我建议使用10天*** 滴耳液,观察效果。
关于猫咪耳廓发黑的问题:
我的判断可能是真菌感染,导致的毛囊炎,治疗方法:先使用棉球蘸硫磺皂水清洗发黑的部位,然后使用酒精轻轻擦,可能会擦掉一部分黑色,然后使用*****软膏涂抹。也就是:硫磺皂清洗----酒精消毒擦洗----*****软膏抗真菌。
陆文健
执业兽医师
建议处方:
1、*******滴耳液,10ml/瓶,用泵给药适量(大概1ml),一天1次,连用7天,(针对耳道所谓耳螨治疗);
2、*******软膏,15g/支/盒,适量涂抹患处,一天2-3次,连用7天以上(针对耳廓真菌感染)。
处方里面的:1、******滴耳液,针对耳道内真菌感染有效;2、******膏,对真菌感染的皮肤病有效。
好的谢谢医生 是真菌感染的话 算不算猫藓?是否要和人隔离呢?
陆文健
执业兽医师
应该是马拉色菌,也是真菌的一种,虽然理论上可以感染人,但您只要适当防护一下,比如带一次性手套,治愈前尽可能少和猫咪直接接触就可以了。
陆文健
执业兽医师
请用药1 周后复诊,根据您的猫咪恢复的情况再来考虑是否需要调整治疗方案,
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
{"286712":{"id":286712,"case_id":34103,"user_id":1388751,"to_user_id":1919622,"type":3,"content":"建议处方:\n1、*******滴耳液,10ml\/瓶,用泵给药适量(大概1ml),一天1次,连用7天,(针对耳道所谓耳螨治疗);\n2、*******软膏,15g\/支\/盒,适量涂抹患处,一天2-3次,连用7天以上(针对耳廓真菌感染)。\n处方里面的:1、******滴耳液,针对耳道内真菌感染有效;2、******膏,对真菌感染的皮肤病有效。","media":{"images":{},"videos":{},"business_params":{"prescription_id":106687}},"is_doctor":1,"status":1,"created_at":"2022-03-23 20:33:36","show_rx":true,"rx_info":{"id":106687,"rx_no":2.0220323203233502e+24,"user_id":1919622,"doctor_user_id":1388751,"is_independent":0,"case_id":2669841,"pet_info":{"pet_id":281407,"pet_name":"银渐层","pet_nickname":"猪咪","pet_gender":2,"pet_birth":"0-8","pet_weight":2,"pet_vaccination_status":1,"pet_in_insect_repellent_status":1,"pet_out_insect_repellent_status":1,"pet_age_format":"8个月"},"diagnose":"耳道和耳廓真菌感染","signature":"","deadline":null,"status":1,"send_status":1,"use_status":1,"created_at":"2022-03-23 20:32:33","updated_at":"2022-03-23 20:38:18","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":14855,"prescription_id":106687,"doctor_user_id":1388751,"product_id":741,"product_sku_id":783,"dose":1,"dose_unit":"ml","use_method":"外喷","frequency":"每天1次","days":7,"number":1,"remark":"","created_at":"2022-03-23 20:32:33","updated_at":"2022-03-23 20:32:33","product_info":{"id":741,"hash_id":"L6mEd3xGrygVGQ2W","class_ids":{"0":1,"1":2},"category_ids":{"0":180},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":163,"sell_point":"耳可舒复方咪康唑滴耳液","title":"维克 耳可舒复方咪康唑滴耳液 10ml\/瓶","recommend_reason":{"0":"对庆大霉素敏感的细菌","1":"对硝酸咪康唑敏感的真菌引起的外耳道炎"},"baike_guide_text":"","baike_article_hash_id":"","advword":"耳螨,马拉色菌,耳炎,耳朵异味","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"10ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/8220527a916ed97e84ca3c61f0c3dccb.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":98,"max_price":98,"sale_count":30,"tags":"","sort":0,"status":0,"delete_status":0,"created_at":"2021-12-17 16:49:40","updated_at":"2024-07-23 10:18:34","ins":{"id":163,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"复方咪康唑滴耳液","trade_name":"耳可舒","en_name":"Compound Miconazole Ear Drops Fufang Mikangzuo Di'erye","brand_name":"维克","is_prescription":0,"cover":"\/drug\/2021\/03\/031e33fb06b68b6dae1d3ad679f51a1d.jpg","specification":"18ml\/瓶","reference_price":120,"component":"氢化可的松醋丙酯、硝酸咪康唑、硫酸庆大霉素","indication":"1.对庆大霉素敏感的细菌\n2.对硝酸咪康唑敏感的真菌(如皮屑芽孢菌)引起的犬外耳道炎和反复发作的犬猫外耳道炎","usage_dosage":"室温首次使用时摇匀。\n1.使用前将外耳道清洗干净,并剪掉用药部位周围多余的毛发。\n2.准备好泵和导管,将导管插入外耳道,用泵给药,给药后轻揉耳根部片刻,以便让药物进入耳道深处。\n3.每只感染耳朵每天1ML,连用5天·","contraindication":"","adverse_reaction":"1.耳朵有轻微发红,偶有丘疹发生。\n2.可能会引起老龄狗暂时性听力障碍","attention":"1.对赋形剂、皮质类固醇和唑类抗真菌类及氨基糖苷类敏感的动物禁用。\n2.不可同时使用相同成分的其他产品,或其它已知有耳毒性的药物,以免引起耳毒性。\n3.不慎皮肤接触,用水彻底清洗即可。不慎入眼,大量清水冲洗。\n4.怀孕期和哺乳期的狗未进行安全性研究。\n5.如发生过敏,应停止使用,并适当治疗。","interaction":"","approval_no":"(2015)外兽药证字04号","storage_method":"遮光,阴凉处保存","validity":"18个月","manufacturer":"洛阳朗威动物药业有限公司","status":1,"created_at":"2021-03-15 11:52:53","updated_at":"2021-03-15 11:52:53"}},"product_sku_info":{"id":783,"product_id":741,"title":"维克 耳可舒复方咪康唑滴耳液 10ml\/瓶","advword":null,"price":98,"market_price":120,"cost_price":0,"stock":69,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"10ml"}},"cover":null,"thumb":"","sale_count":31,"status":0,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 16:49:40","updated_at":"2024-07-23 10:18:34"}},"1":{"id":14856,"prescription_id":106687,"doctor_user_id":1388751,"product_id":792,"product_sku_id":834,"dose":1,"dose_unit":"适量","use_method":"涂抹","frequency":"每天3次","days":10,"number":1,"remark":"","created_at":"2022-03-23 20:32:33","updated_at":"2022-03-23 20:32:33","product_info":{"id":792,"hash_id":"evObG6x87Ggw0akj","class_ids":{"0":1,"1":2},"category_ids":{"0":171},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":95,"sell_point":"金盾皮特芬复方酮康唑软膏","title":"金盾皮特芬复方酮康唑软膏 15g\/支\/盒","recommend_reason":{"0":"抗微生物药","1":"用于治疗犬、猫癣菌厌氧菌等引起的皮肤病"},"baike_guide_text":"","baike_article_hash_id":"","advword":"真菌型,皮肤病猫癣,抗微生物药","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"15g"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/beffd863fa0690ab40a6729ef41d7c97.jpeg","images":{"0":"https:\/\/cdn.moguvet.com\/shop\/2023\/10\/fab106cc9976eadc4decf4eea020f78a.jpg"},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":39,"max_price":39,"sale_count":69,"tags":"","sort":0,"status":0,"delete_status":0,"created_at":"2021-12-20 18:57:10","updated_at":"2024-07-26 13:59:31","ins":{"id":95,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"复方酮康唑软膏","trade_name":"皮特芬","en_name":"Compound Ketoconazole Ointment","brand_name":"金盾","is_prescription":0,"cover":"\/drug\/2020\/11\/baf927499198103bc016d78c5b1af3e7.jpg","specification":"15g\/支\/盒","reference_price":60,"component":"酮康唑、甲硝唑、薄荷脑等","indication":"抗微生物药。用于治疗犬、猫癣菌厌氧菌等引起的皮肤病。","usage_dosage":"1.使用时为了药物更好的吸收利用,请将患处脓液、痂皮。等处理干净再涂抹,或视情况剃毛处理。\n2.涂抹于患处,可轻轻按摩辅助吸收,或用棉签沾取涂抹患处。每日2-5次,连用5-7天或遵医嘱。","contraindication":"1.犬妊娠期禁用。\n2.肝功能不全的动物慎用。","adverse_reaction":"","attention":"1.本品请勿接触眼睛。\n2.保存温度过高会出膏体变红现象,但不影响使用。","interaction":"","approval_no":"兽药字100386018","storage_method":"阴凉干燥处保存,避免儿童接触。","validity":"2年","manufacturer":"南京金盾生物技术有限公司","status":1,"created_at":"2020-11-13 17:08:54","updated_at":"2020-11-13 17:08:54"}},"product_sku_info":{"id":834,"product_id":792,"title":"金盾皮特芬复方酮康唑软膏 15g\/支\/盒","advword":null,"price":39,"market_price":60,"cost_price":0,"stock":78,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"15g"}},"cover":null,"thumb":"","sale_count":73,"status":0,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-20 18:57:10","updated_at":"2024-07-26 13:59:31"}}},"drug_data_bak":{"0":{"id":14855,"prescription_id":106687,"doctor_user_id":1388751,"product_id":741,"product_sku_id":783,"dose":1,"dose_unit":"ml","use_method":"外喷","frequency":"每天1次","days":7,"number":1,"remark":"","created_at":"2022-03-23 20:32:33","updated_at":"2022-03-23 20:32:33","product_info":{"id":741,"hash_id":"L6mEd3xGrygVGQ2W","class_ids":{"0":1,"1":2},"category_ids":{"0":180},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":163,"sell_point":"耳可舒复方咪康唑滴耳液","title":"维克 耳可舒复方咪康唑滴耳液 10ml\/瓶","recommend_reason":{"0":"对庆大霉素敏感的细菌","1":"对硝酸咪康唑敏感的真菌引起的外耳道炎"},"baike_guide_text":"","baike_article_hash_id":"","advword":"耳螨,马拉色菌,耳炎,耳朵异味","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"10ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/8220527a916ed97e84ca3c61f0c3dccb.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":98,"max_price":98,"sale_count":30,"tags":"","sort":0,"status":0,"delete_status":0,"created_at":"2021-12-17 16:49:40","updated_at":"2024-07-23 10:18:34","ins":{"id":163,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"复方咪康唑滴耳液","trade_name":"耳可舒","en_name":"Compound Miconazole Ear Drops Fufang Mikangzuo Di'erye","brand_name":"维克","is_prescription":0,"cover":"\/drug\/2021\/03\/031e33fb06b68b6dae1d3ad679f51a1d.jpg","specification":"18ml\/瓶","reference_price":120,"component":"氢化可的松醋丙酯、硝酸咪康唑、硫酸庆大霉素","indication":"1.对庆大霉素敏感的细菌\n2.对硝酸咪康唑敏感的真菌(如皮屑芽孢菌)引起的犬外耳道炎和反复发作的犬猫外耳道炎","usage_dosage":"室温首次使用时摇匀。\n1.使用前将外耳道清洗干净,并剪掉用药部位周围多余的毛发。\n2.准备好泵和导管,将导管插入外耳道,用泵给药,给药后轻揉耳根部片刻,以便让药物进入耳道深处。\n3.每只感染耳朵每天1ML,连用5天·","contraindication":"","adverse_reaction":"1.耳朵有轻微发红,偶有丘疹发生。\n2.可能会引起老龄狗暂时性听力障碍","attention":"1.对赋形剂、皮质类固醇和唑类抗真菌类及氨基糖苷类敏感的动物禁用。\n2.不可同时使用相同成分的其他产品,或其它已知有耳毒性的药物,以免引起耳毒性。\n3.不慎皮肤接触,用水彻底清洗即可。不慎入眼,大量清水冲洗。\n4.怀孕期和哺乳期的狗未进行安全性研究。\n5.如发生过敏,应停止使用,并适当治疗。","interaction":"","approval_no":"(2015)外兽药证字04号","storage_method":"遮光,阴凉处保存","validity":"18个月","manufacturer":"洛阳朗威动物药业有限公司","status":1,"created_at":"2021-03-15 11:52:53","updated_at":"2021-03-15 11:52:53"}},"product_sku_info":{"id":783,"product_id":741,"title":"维克 耳可舒复方咪康唑滴耳液 10ml\/瓶","advword":null,"price":98,"market_price":120,"cost_price":0,"stock":69,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"10ml"}},"cover":null,"thumb":"","sale_count":31,"status":0,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 16:49:40","updated_at":"2024-07-23 10:18:34"}},"1":{"id":14856,"prescription_id":106687,"doctor_user_id":1388751,"product_id":792,"product_sku_id":834,"dose":1,"dose_unit":"适量","use_method":"涂抹","frequency":"每天3次","days":10,"number":1,"remark":"","created_at":"2022-03-23 20:32:33","updated_at":"2022-03-23 20:32:33","product_info":{"id":792,"hash_id":"evObG6x87Ggw0akj","class_ids":{"0":1,"1":2},"category_ids":{"0":171},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":95,"sell_point":"金盾皮特芬复方酮康唑软膏","title":"金盾皮特芬复方酮康唑软膏 15g\/支\/盒","recommend_reason":{"0":"抗微生物药","1":"用于治疗犬、猫癣菌厌氧菌等引起的皮肤病"},"baike_guide_text":"","baike_article_hash_id":"","advword":"真菌型,皮肤病猫癣,抗微生物药","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"15g"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/beffd863fa0690ab40a6729ef41d7c97.jpeg","images":{"0":"https:\/\/cdn.moguvet.com\/shop\/2023\/10\/fab106cc9976eadc4decf4eea020f78a.jpg"},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":39,"max_price":39,"sale_count":69,"tags":"","sort":0,"status":0,"delete_status":0,"created_at":"2021-12-20 18:57:10","updated_at":"2024-07-26 13:59:31","ins":{"id":95,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"复方酮康唑软膏","trade_name":"皮特芬","en_name":"Compound Ketoconazole Ointment","brand_name":"金盾","is_prescription":0,"cover":"\/drug\/2020\/11\/baf927499198103bc016d78c5b1af3e7.jpg","specification":"15g\/支\/盒","reference_price":60,"component":"酮康唑、甲硝唑、薄荷脑等","indication":"抗微生物药。用于治疗犬、猫癣菌厌氧菌等引起的皮肤病。","usage_dosage":"1.使用时为了药物更好的吸收利用,请将患处脓液、痂皮。等处理干净再涂抹,或视情况剃毛处理。\n2.涂抹于患处,可轻轻按摩辅助吸收,或用棉签沾取涂抹患处。每日2-5次,连用5-7天或遵医嘱。","contraindication":"1.犬妊娠期禁用。\n2.肝功能不全的动物慎用。","adverse_reaction":"","attention":"1.本品请勿接触眼睛。\n2.保存温度过高会出膏体变红现象,但不影响使用。","interaction":"","approval_no":"兽药字100386018","storage_method":"阴凉干燥处保存,避免儿童接触。","validity":"2年","manufacturer":"南京金盾生物技术有限公司","status":1,"created_at":"2020-11-13 17:08:54","updated_at":"2020-11-13 17:08:54"}},"product_sku_info":{"id":834,"product_id":792,"title":"金盾皮特芬复方酮康唑软膏 15g\/支\/盒","advword":null,"price":39,"market_price":60,"cost_price":0,"stock":78,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"15g"}},"cover":null,"thumb":"","sale_count":73,"status":0,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-20 18:57:10","updated_at":"2024-07-26 13:59:31"}}}}}}
微信扫一扫
立即问宠医