咨询描述：症状描述：猫咪在两个月前出现了圆形斑秃，去医院伍德氏灯照不出来，做了刮片，有少量的细菌和真菌，确诊猫藓。后续用药是***，背上的好了，脸上被传染上了。有可以口服的药推荐吗。
猫藓状况：脱毛，露出粉色皮肤，猫咪瘙痒抓挠。猫藓患处上药之前没有皮屑和结痂。在喷***以后开始结痂掉痂然后长毛。在蓝光下掉的痂是棕色。一到两周洗一次**真菌药浴。
脸上猫藓患处：左脸喷***已经长毛看不出粉色皮肤。右脸也长起小绒毛。耳朵猫藓是新传染的。家里买了伍德氏灯仍然照不出荧光反应。
回复总结：猫咪得了猫癣，对症治疗后还是反反复复，并且出现大面积扩散难以控制的情况，考虑跟猫咪自身的免疫力较弱有关。针对这种情况，建议使用口服药进行治疗，需要给猫咪服用含有伊曲康唑成分的抗真菌药物，一般吃7天停7天。同时配合鱼油或维生素辅助提高皮肤免疫力。另外，因为所有抗真菌口服药物都可能会刺激肝肾，所以建议在吃口服药之前和之后需要检查猫咪的肝肾功能。
问题大致一样，细节不同？
邓薄鸿
执业兽医师
你好，看到你描述的情况了，就是伍德氏灯只是一个辅助，不是用它确诊，刮片显微镜检查是最准确的，不管伍德氏灯有没有照射出来的。就是如果说大面积控制不住的话，一般可以考虑口服***，这个是伊曲康唑成分的抗真菌药物，一般吃7天停7天。但是所有抗真菌口服药物都可能会有一定概率刺激出现肝肾损伤，所以考虑一般在吃口服药之前和之后需要查一下身体肝肾功能，在就是配合一些鱼油之类的营养热乎辅助提高皮肤免疫力。
猫咪背上的毛长起来了，但是有一丢丢扩散，涂了药很快就长好了，也没扩散。脸上这个扩散太快了，一边长毛一边扩，吃了一段时间的卵磷脂跟维生素了，家里也拖地消毒，不知道怎么脸上传这么快。这种治的快，传染也快的症状怎么处理呢
邓薄鸿
执业兽医师
这种的话就是自身免疫力的问题，如果说想控制这种最根本的就是吃口服药了，就是属于从根本上治疗，在就是家里有维生素的话可以继续一直吃。因为上药那些也都属于治标不治本，还是有继续扩散的风险。根据宝贝的情况，我给它开个处方。处方里面的1.***，抗真菌，每天1次，每次口服2毫升。
好的谢谢医生，还有想问一下，猫咪绝育了三个月了，原本是八斤多，现在体重7斤半左右一直不长，吃东西也不多，鸡肉爱吃每次都是点到为止，也不贪嘴，虾不吃，蛋黄也不吃，罐头也是点到为止不多吃，怎么才能让他多吃点饭，提高一下免疫力呢
邓薄鸿
执业兽医师
像是这种的话就是跟每个猫咪自己的体质有关系了嗯，正常如果说吃肉的话它本身体重应该是可以有一定增长的，但是有跟自身的代谢都有一定关系的，肉一定是最好吃的了，这种能正常吃的话你也没办法强迫多吃了，就跟有的人干吃不胖一样，就是你这种你要想提高免疫力的话就复合维生素可以继续使用，因为像是这种长时间使用维生素的话也会提高自身身体免疫力的
邓薄鸿
执业兽医师
就是这个的话相对来说安全性会高一些，其它的话就是也是抗真菌成分的。根据宝贝的情况，我给它开个处方。处方里面的1.*****片，抗真菌，每天1次，每次五分之二片，连续使用2周。
好的谢谢医生，连续使用两周后有好转就直接停药吗，如果没有好转需要停药一段时候之后再使用吗
邓薄鸿
执业兽医师
是的，如果说恢复了的话就是考虑停药。要是没有完全好的话，考虑停药一周后再次使用7到14天的。但是最起码用药之后肯定需要复查一下生化检查，看一下身体的肝肾功能的
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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