咨询描述:症状描述:一只猫一直有这种情况,第二只猫一个多月前发现耳朵也变成这个样子了,有黑色的小点点,耳朵还发黄
医院检查:去医院查了,医生只告诉是真菌感染,没有具体说是什么真菌
用药情况:给开的药涂上有缓解,但没有根治,我查了一下药是给狗治的不是给猫用的
回复总结:猫咪耳朵出现发黄、有黑点的症状,可能是真菌感染,也有可能是耳螨或者寄生虫导致的。治疗方面建议先给猫咪进行体外驱虫处理,然后使用宠物专用洗耳液或者滴耳液。如果外用药的效果比较差,建议给猫咪服用抗真菌的宠物专用口服药。因为真菌的治疗本身时间比较长,后续需要坚持用药,到症状完全消失后再用药5到7天左右,防止深层真菌复发。
问题大致一样,细节不同?
徐灿
执业兽医师
晚上好,家长,是不是当时做了耳道刮片镜检?一般来说,做这个测试是没有问题的,当时检查了,只有真菌吗?因为真菌相对来说比较麻烦,尤其是耳朵里面的,所以通常来说,除了挤进耳朵里面的药物,还应该增加一些口服的比较稳妥,因为口服的药物可以通过血液到达全身各处,起到预防和治疗作用。不过最后一张照片我不确定是什么东西,能不能把用药的主要成分发给我看一下?现在是不是仍然总是抓挠耳朵?上一次做体外驱虫是什么时候呢?因为有些时候耳螨或者是寄生虫,也会造成该情况。这种情况建议是更改用药方案,现有方案,实际上,治疗效果和稳定性不太好。因为单纯的用洗耳液或者滴耳液的效果比较差。
(若您需要离开本诊室,稍后可以到微信官方微信公众号“蘑菇宠医”内找到问诊订单继续和我沟通。)
当时没问所以不确定是做的什么检查,医生用棉签收集了耳道里的异物。只说了检查出来有真菌,没说关于耳螨。具体报告没拿到但是需要的话可以找医生要,现在有时候会抓耳朵但是不会非常的频繁。体外驱虫三个月前做了一次,昨天做了一次
为保护用户隐私不显示图片/视频
徐灿
执业兽医师
这个药物总体来看就是治疗真菌的和抗生素,还有一些激素,大体分为这三个方面,个人建议是更改一些方案,进行过体外驱虫的话,就可以不用治疗耳螨的药物了,因为驱虫药物就可以杀死螨虫,但是建议是更改为口服的抗真菌药,因为毕竟耳朵也是皮肤的延伸。然后配合一个治疗耳朵的药物即可。
徐灿
执业兽医师
因为耳朵里面本身就是崎岖的,所以用耳药这种外用药物,一个是很难进到里面,另外一个就是表面的很难杀死深层的真菌,所以个人建议是口服抗真菌药物,然后配合上耳药,不过,治疗时间会稍长一些,因为真菌的治疗本身时间就长,后续的话要坚持用药到症状完全消失了,再用药5到7天左右才可以,防止深层真菌复发。
我这个药猫可以用吗?因为之前医生开的就是这个,查了资料说专门给狗用的,我不太确定给猫用了有什么不良反应,我比较怕猫用了会对它不好
为保护用户隐私不显示图片/视频
徐灿
执业兽医师
从药物成分上来讲是没有问题的,但是这个药物没有用过,我实际上不确定效果,所以我不太好做出评价,但是为了保险起见,最好更换一下。
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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