咨询描述:2岁左右的母猫,没有绝育,下身流脓,但没有血,肚子也没有变大,喂鸡胸肉也吃了几块,食欲没有明显下降,是什么症状?
回复总结:如果母猫出现尿道流脓的症状,有可能是子宫蓄摸,也有可能是阴道炎。如果猫咪的吃喝和精神状态未受到影响,建议先给猫咪口服宠物专用抗生素来控制,一天两次,持续用药一星期左右。然后用药效果不好,建议带猫咪去宠物医院做血常规、saa、腹部b超检查,如果子宫蓄脓严重,建议做绝育手术摘除子宫和卵巢,以防细菌进入血液循环造成菌血症、败血症甚至多器官衰竭。
问题大致一样,细节不同?
郭秋萍
执业兽医师
根据您讲到的猫咪的情况,我初步判断它有子宫蓄脓,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你核实一下:
1. 猫咪的基本信息,体重,有没有打疫苗和做体内外驱虫?之前有没有什么疾病史?
2. 猫咪是什么时候开始出现阴道部位流分泌物的?他上一次发情是什么时候?有没有交配过?
3. 猫咪,最近精神食欲大小便情况怎么样?
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。
猫咪没有打疫苗,驱虫自己做的,六七斤的样子,发情是3月13号左右,没给交配,今天早上没有流脓水的症状,下班回家就有了,精神状况挺好的,这两天都是我婆婆下班回家它在睡觉,喊她就醒了,吃东西也正常的,大便会少一点,细细长长的两三条,以前比较粗
郭秋萍
执业兽医师
从你的描述来看,猫咪最有可能是子宫蓄摸,而且是开放性的子宫蓄脓,其次,考虑是有阴道炎。不过从经验来看,子宫蓄脓的可能性最大。
可以去宠物医院做血常规,saa,腹部b超检查确诊。如果真的是有子宫蓄脓,必须手术摘除子宫和卵巢。
要不然,细菌很容易进入血液循环造成菌血症,败血症,甚至多器官衰竭。
现在去医院不方便,有没有可能先用药物治疗,然后做绝育来治疗呢?如果手术摘除子宫和卵巢的话,费用大概是多少呢?
郭秋萍
执业兽医师
你可以先给他口服抗生素来控制,他目前的这个症状可以口服**12.5毫克每千克体重,一天喂两次,你喂一个星期左右,也就是一天两次,一次2片。我建议你尽快的去医院去做摘除手术,因为这个病越拖到后面对内脏的损伤以及对猫咪的损伤也就更大。
手术摘除的话费用差不多在****块钱左右,包括术前的检查,麻醉,手术和术后的消炎,不过要根据当地的消费水平来,因为每个地方的消费不一样,定价也是不一样的。
会阴部位建议你每天都要用温开水,帮她清洗,保持局部的干净和干燥。
郭秋萍
执业兽医师
他其实和绝育手术是同一个性质的,但是因为有子宫蓄脓,所以开口会更大一些,而且术后必须静脉输液消炎。
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
{"296113":{"id":296113,"case_id":35089,"user_id":1004931,"to_user_id":1954529,"type":3,"content":"你可以先给他口服抗生素来控制,他目前的这个症状可以口服**12.5毫克每千克体重,一天喂两次,你喂一个星期左右,也就是一天两次,一次2片。我建议你尽快的去医院去做摘除手术,因为这个病越拖到后面对内脏的损伤以及对猫咪的损伤也就更大。\n\n手术摘除的话费用差不多在****块钱左右,包括术前的检查,麻醉,手术和术后的消炎,不过要根据当地的消费水平来,因为每个地方的消费不一样,定价也是不一样的。\n\n会阴部位建议你每天都要用温开水,帮她清洗,保持局部的干净和干燥。","media":{"images":{},"videos":{},"business_params":{"prescription_id":109321}},"is_doctor":1,"status":1,"created_at":"2022-04-22 21:23:08","show_rx":true,"rx_info":{"id":109321,"rx_no":2.02204222122065e+24,"user_id":1954529,"doctor_user_id":1004931,"is_independent":0,"case_id":2707277,"pet_info":{"pet_id":288243,"pet_name":"银渐层","pet_nickname":"小宝","pet_gender":2,"pet_birth":"1-11","pet_weight":4,"pet_vaccination_status":0,"pet_in_insect_repellent_status":0,"pet_out_insect_repellent_status":1,"pet_age_format":"1岁11个月"},"diagnose":"子宫蓄脓","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2022-04-22 21:22:06","updated_at":"2022-04-22 21:23:08","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":20710,"prescription_id":109321,"doctor_user_id":1004931,"product_id":712,"product_sku_id":755,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":7,"number":2,"remark":"","created_at":"2022-04-22 21:22:06","updated_at":"2022-04-22 21:22:06","product_info":{"id":712,"hash_id":"VjX39W4z2B4Q0bvZ","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":3,"sell_point":"速诺(阿莫西林克拉维酸钾片)50mg","title":"辉瑞速诺(阿莫西林克拉维酸钾片) 50mg×10片\/板","recommend_reason":{"0":"适用于宠物由敏感细菌引起的皮肤及软组织感染、呼吸道感染","1":"治疗宠物革兰氏阴性和革兰氏阳性敏感细菌的感染","2":"用于肠炎及其他感染,如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"呼吸道感染,肠炎,腹泻,便血,真菌感染,猫癣,脓皮症","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"50mg规格1板"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/26f5438f35ed21efc2894dffea9f399f.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":48,"max_price":48,"sale_count":1339,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:50:13","updated_at":"2024-04-29 09:12:55","ins":{"id":3,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"阿莫西林克拉维酸钾片","trade_name":"速诺","en_name":"Synulox Palatable Tablets","brand_name":"辉瑞","is_prescription":1,"cover":"\/drug\/2020\/10\/46c3ccae52804b92b0e341800e809e95.JPG","specification":"50mg×10片×10板\/盒","reference_price":800,"component":"阿莫西林和克拉维酸钾","indication":"适用于犬猫由敏感细菌引起的各种感染,及治疗犬猫革兰氏阴性和革兰氏阳性敏感细菌的感染。\n1、如皮肤及软组织感染脓性皮炎、脓肿和肛腺炎、蜂窝组织炎、伤口感染、腹内脓毒症等。\n2、牙感染(牙龈炎)。\n3、尿道感染,如膀胱炎、尿道炎、肾盂肾炎、前列腺炎、盆腔炎、淋病奈瑟菌尿路感染及软性下疳等。\n4、呼吸道感染,如鼻窦炎、扁桃体炎、咽炎、急慢性支气管炎、慢性支气管炎急性发作、肺炎、肺脓肿和支气管合并感染。\n5、肠炎及其他感染,如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染等。","usage_dosage":"口服。每天吃2次,连用5-7天。每次用量如下:\n体重1-2kg,吃半粒; \n体重3-5kg,吃1粒; \n体重6-9kg,吃2粒;\n体重10-13kg,吃3粒;\n体重14-18kg,吃4粒;\n体重≥19kg,请购买同品250mg规格的产品。\n\n注:一些慢性感染(慢性皮炎、慢性膀胱炎和慢性呼吸道感染)的治疗可连用10-28天。","contraindication":"1. 仓鼠、豚鼠、沙鼠、灰鼠和家兔禁用。\n2. 其他草食动物慎用。\n3.对青霉素过敏者禁止接触本品。","adverse_reaction":"1.恶心、腹泻和皮肤丘疹是最常见的不良反应。\n2.本品为青霉素类药物,若出现过敏反应可使用肾上腺素治疗。","attention":"1.不要对病情严重的动物使用口服抗生素,因其胃肠道吸收可能不可靠,这些患病动物可能需要静脉注射剂。\n2.避免在对其他β-内酰胺类抗菌药(包含头孢菌素类)有过敏反应的动物使用。\n3.片剂由防潮箔包裹,给药前不要取出。\n4.对青霉素过敏者如果不慎接触,应该立刻去找医生救助。\n5.孕畜慎用。\n4.使用后请洗手。\n5.不要让小孩接触到此产品。","interaction":"1.避免同时使用抑菌性抗生素(如四环素、红霉素)。\n2.不要给鸟类同时使用别嘌呤醇、β-内酰胺和氨基糖苷类抗菌剂在体内有协同作用。\n3.本品和氨苄西林有完全交叉耐药性,与青霉素类和头孢菌素类有交叉耐药性。","approval_no":"(2018)外兽药证字10号","storage_method":"密封,在凉暗干燥处保存。","validity":"2年","manufacturer":"意大利豪普特制药厂(Haupt Pharma Latina S.R.L)","status":1,"created_at":"2020-10-21 13:48:10","updated_at":"2020-10-23 15:55:39"}},"product_sku_info":{"id":755,"product_id":712,"title":"辉瑞速诺(阿莫西林克拉维酸钾片) 50mg×10片\/板","advword":null,"price":48,"market_price":59,"cost_price":0,"stock":9647,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50mg规格1板"}},"cover":null,"thumb":"","sale_count":1410,"status":1,"delete_status":0,"created_at":"2021-12-16 15:50:13","updated_at":"2024-04-28 21:08:44"}}},"drug_data_bak":{"0":{"id":20710,"prescription_id":109321,"doctor_user_id":1004931,"product_id":712,"product_sku_id":755,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":7,"number":2,"remark":"","created_at":"2022-04-22 21:22:06","updated_at":"2022-04-22 21:22:06","product_info":{"id":712,"hash_id":"VjX39W4z2B4Q0bvZ","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":3,"sell_point":"速诺(阿莫西林克拉维酸钾片)50mg","title":"辉瑞速诺(阿莫西林克拉维酸钾片) 50mg×10片\/板","recommend_reason":{"0":"适用于宠物由敏感细菌引起的皮肤及软组织感染、呼吸道感染","1":"治疗宠物革兰氏阴性和革兰氏阳性敏感细菌的感染","2":"用于肠炎及其他感染,如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"呼吸道感染,肠炎,腹泻,便血,真菌感染,猫癣,脓皮症","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"50mg规格1板"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/26f5438f35ed21efc2894dffea9f399f.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":48,"max_price":48,"sale_count":1339,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:50:13","updated_at":"2024-04-29 09:12:55","ins":{"id":3,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"阿莫西林克拉维酸钾片","trade_name":"速诺","en_name":"Synulox Palatable Tablets","brand_name":"辉瑞","is_prescription":1,"cover":"\/drug\/2020\/10\/46c3ccae52804b92b0e341800e809e95.JPG","specification":"50mg×10片×10板\/盒","reference_price":800,"component":"阿莫西林和克拉维酸钾","indication":"适用于犬猫由敏感细菌引起的各种感染,及治疗犬猫革兰氏阴性和革兰氏阳性敏感细菌的感染。\n1、如皮肤及软组织感染脓性皮炎、脓肿和肛腺炎、蜂窝组织炎、伤口感染、腹内脓毒症等。\n2、牙感染(牙龈炎)。\n3、尿道感染,如膀胱炎、尿道炎、肾盂肾炎、前列腺炎、盆腔炎、淋病奈瑟菌尿路感染及软性下疳等。\n4、呼吸道感染,如鼻窦炎、扁桃体炎、咽炎、急慢性支气管炎、慢性支气管炎急性发作、肺炎、肺脓肿和支气管合并感染。\n5、肠炎及其他感染,如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染等。","usage_dosage":"口服。每天吃2次,连用5-7天。每次用量如下:\n体重1-2kg,吃半粒; \n体重3-5kg,吃1粒; \n体重6-9kg,吃2粒;\n体重10-13kg,吃3粒;\n体重14-18kg,吃4粒;\n体重≥19kg,请购买同品250mg规格的产品。\n\n注:一些慢性感染(慢性皮炎、慢性膀胱炎和慢性呼吸道感染)的治疗可连用10-28天。","contraindication":"1. 仓鼠、豚鼠、沙鼠、灰鼠和家兔禁用。\n2. 其他草食动物慎用。\n3.对青霉素过敏者禁止接触本品。","adverse_reaction":"1.恶心、腹泻和皮肤丘疹是最常见的不良反应。\n2.本品为青霉素类药物,若出现过敏反应可使用肾上腺素治疗。","attention":"1.不要对病情严重的动物使用口服抗生素,因其胃肠道吸收可能不可靠,这些患病动物可能需要静脉注射剂。\n2.避免在对其他β-内酰胺类抗菌药(包含头孢菌素类)有过敏反应的动物使用。\n3.片剂由防潮箔包裹,给药前不要取出。\n4.对青霉素过敏者如果不慎接触,应该立刻去找医生救助。\n5.孕畜慎用。\n4.使用后请洗手。\n5.不要让小孩接触到此产品。","interaction":"1.避免同时使用抑菌性抗生素(如四环素、红霉素)。\n2.不要给鸟类同时使用别嘌呤醇、β-内酰胺和氨基糖苷类抗菌剂在体内有协同作用。\n3.本品和氨苄西林有完全交叉耐药性,与青霉素类和头孢菌素类有交叉耐药性。","approval_no":"(2018)外兽药证字10号","storage_method":"密封,在凉暗干燥处保存。","validity":"2年","manufacturer":"意大利豪普特制药厂(Haupt Pharma Latina S.R.L)","status":1,"created_at":"2020-10-21 13:48:10","updated_at":"2020-10-23 15:55:39"}},"product_sku_info":{"id":755,"product_id":712,"title":"辉瑞速诺(阿莫西林克拉维酸钾片) 50mg×10片\/板","advword":null,"price":48,"market_price":59,"cost_price":0,"stock":9647,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50mg规格1板"}},"cover":null,"thumb":"","sale_count":1410,"status":1,"delete_status":0,"created_at":"2021-12-16 15:50:13","updated_at":"2024-04-28 21:08:44"}}}}}}
去微信领券提问
实时接受医生通知