咨询描述:猫咪脸上有很多出现掉毛 渗血
患病时长:15天
回复总结:猫咪脸上秃了一块可能是真菌感染导致脸部脱毛,由于瘙痒抓挠引起出血结痂。其次,也可能是过敏或者螨虫感染导致。如果家里猫咪比较多,还可能是打架导致。建议先带猫咪去宠物医院进行皮肤检查,确诊病因后再针对性用药治疗。如果暂时不方便就诊,首先需要24小时给猫咪佩戴伊莉莎白圈防止抓挠导致二次感染,同时与其他猫咪分离喂养避免交叉感染。然后口服抗真菌药并配合局部涂抹消炎的外用药,口服提高免疫力的药品帮助猫咪恢复。
问题大致一样,细节不同?
王园龙
执业兽医师
据您讲到的糖糖的情况
我初步判断很可能是真菌感染,导致的脸部脱毛瘙痒他抓就会引起出血结痂。
也可能是过敏,或者是螨虫感染。
但仅仅根据目前您描述的情况,还不能做出进一步的判断。
我还有几个问题需要向你核实一下:
1. 宝贝您养了多久,多大年龄了?家里还有其他动物吗?
2. 宝贝日常饮食主要喂什么吃?宝贝发病之前(最近几天)都给吃了什么食物;有没有吃过鱼虾蟹一类的食物?
3.宝贝精神状态饮食,排便排尿都正常吗?发病前有没有打疫苗?
4.宝贝最近有没有洗过澡受凉,或者通风受凉等情况?家里环境温度多少度?(理想温度22-25度左右)
5.您检查一下猫咪的耳朵,看一下耳道里有没有分泌物?再掰开他的眼睛,看看结膜有没有充血水肿的情况?他用爪子抓眼睛周围或者耳朵吗?
6.您可以给宝贝测个体温,水银体温计顶在大腿根内侧,顶紧点测5分钟。告诉我宝贝的体温。
7.家里都有什么猫咪的药,有的话把包装,规格发上来我看一下。近期有没有给他用过什么药呢?
8.还有宝贝的体重以及过往病史(是否有药物过敏史),疫苗以及驱虫情况具体时间,驱虫药名?。
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『年龄、体重』提供一下,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。
都正常的 猫咪家里有三只 也是跟平常一样 没有用过药 只破皮的时候涂过碘伏 耳朵周围和眼睛都有伤口
王园龙
执业兽医师
.感谢您的回复,
1.如果您家里猫咪比较多,也有可能是打架导致的,但是我还是怀疑真菌感染。所以建议您带他去就近的宠物医院,做一下皮肤的检查。看看具体疾病类型,然后再针对性用药,还是打针。
2.如果暂时没时间去医院,
那需要必须24小时给猫咪佩戴伊莉莎白圈防止抓挠导致二次感染。
要和其他猫分离喂养避免交叉感染。
由于患处在眼周,所以需要口服抗真菌药并配合局部涂抹消炎的外用药,并口服提高免疫力的药品帮助猫咪恢复。
3.并且要追加体外驱虫。
如果用药效果不好,还是需要及时就医的
王园龙
执业兽医师
1.去医院需要做一下皮肤分泌物显微镜检查,和伍德氏灯检查。如果可以的话最好在做一个皮肤分泌物的真菌培养。
2.如果猫咪状态不好,那还需要做一下血常规,saa,神话检查的。
意思全身都需要嘛 就显微镜和伍德氏灯多少钱呢 可否先按真菌来治 有没有推荐的药物
王园龙
执业兽医师
1.就检查有问题位置的皮肤就可以,显微镜和伍德氏灯费用大概**-**左右。
2.也可以先按照真菌治疗的,就是这个位置距离眼睛很近,外用药时要多加小心别弄眼睛里。
根据糖糖的情况,我给它开个处方。
处方里面的
1. ****,这个外用涂抹皮肤治疗真菌的药,每天两次外涂在患处皮肤上,连用7天。
2.*******,这个是提高免疫力,恢复皮肤屏障的药,和口服治真菌以及外用真菌药联合使用效果更好。
口服每天两次,每次3ml,连用14天。
3.*******,这个是口服治疗真菌的药,和上边两种药联合使用,各自增强药效的作用。
口服每天一次,每次2.5ml连用7天。
您可以根据需求自行选择购买。
以上用药7天后需要回来复诊,我再帮您制定下一步治疗方案。
用药期间必须24小时佩戴伊莉莎白圈防止抓挠导致二次感染。 眼周外涂药时需要小心别弄眼睛里,涂药原则是宁可少涂,也不能涂多弄眼睛里。
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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