咨询描述:您好,医生。我家金毛最近几天开始尿尿那里流脓,超级臭。怀疑是子宫蓄脓,您帮我看一下
回复总结:狗狗尿道口流脓伴随腥臭味考虑开放性子宫蓄脓的问题。如果狗狗精神状态和食欲正常,给狗狗口服抗生素类药物进行保守治疗即可。只要狗狗子宫蓄脓是开放性并且没有影响精神食欲,可以给予抗生素类药物进行抗感染治疗,直到狗狗分泌物消失为止。同时用药期间继续观察,避免狗狗的子宫蓄脓从开放性转化成闭合性。
问题大致一样,细节不同?
周琪林
执业兽医师
根据您提供的信息,我对它的病情有一个大致了解。当生殖道出现脓性分泌物时,我们就重点考虑开放性子宫蓄脓的问题。我还有几个问题需要向你核实一下:第一、它上一次发情是什么时候?第二、它目前精神状态、食欲是否正常?第三、您是否针对它目前的问题使用了什么药物治疗?
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。
她很久没发情了,上一次不记得了 精神状态还行 食欲也没变 没用什么药物
周琪林
执业兽医师
如果精神状态和食欲正常,那我们就给予抗生素类药物进行保守治疗即可。只要子宫蓄脓是开放性的,且没有影响精神状态和食欲,那我们就可以给予抗生素类药物进行抗感染治疗,直到它分泌物消失为止。同时继续观察,避免它的子宫蓄脓从开放性转化成闭合性的。
周琪林
执业兽医师
这种情况就使用抗生素类药物进行治疗,比如*********+****进行联合治疗,基本上能够控制大部分感染源引起的感染,对子宫蓄脓有很好的治疗作用。但是这种情况建议用药时间稍微长一些,这样有助于把病原菌杀灭干净,避免复发的情况。
但由于保守治疗只能控制这一次子宫蓄脓的问题,但无法杜绝以后再不发生子宫蓄脓,所以如果想杜绝这类疾病的发生,建议进行绝育手术。
周琪林
执业兽医师
您说的这两种药物均没有宠物专用的,如果需要使用,只能购买人用药。****跟****都属于氟喹诺酮类抗生素,对泌尿生殖系统感染有较好的治疗效果。而***属于硝基咪唑类抗生素,主要针对厌氧菌感染,如果要用宠物专用药物,可以考虑同类的***。
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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09:09:54","ins":{"id":5,"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\/b4e16954b19120b0d777543dde23b1da.JPG","specification":"250mg×10片×10板\/盒","reference_price":2200,"component":"阿莫西林和克拉维酸钾","indication":"适用于犬由敏感细菌引起的各种感染,及治疗犬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9-12kg,吃0.5片;\n体重13-15kg,吃0.75片;\n体重16-22kg,吃1片;\n体重23-30kg,吃1.5片;\n体重31-40kg,吃2片;\n体重41kg及以上请购买同品500mg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11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":"2020-10-23 12:09:57","updated_at":"2020-10-23 16:00:00"}},"product_sku_info":{"id":751,"product_id":708,"title":"辉瑞速诺(阿莫西林克拉维酸钾片)250mg×10片×3板","advword":null,"price":288,"market_price":349,"cost_price":0,"stock":9984,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"250mg规格3板装"}},"cover":null,"thumb":"","sale_count":59,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:42:12","updated_at":"2024-11-17 16:15:09"}}}}}}
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