咨询描述:症状描述:痒 掉毛 皮屑
患病时长:持续几年没根治,现在都要秃了
医院检查:开了这个喷药,但新毛没长出来,也不知道有没有误诊
回复总结:狗狗身上掉毛有皮屑考虑是真菌感染引起,可以给狗狗使用含盐酸特比萘芬成分的药物治疗。真菌治疗需要用药一个月左右才会好转,建议坚持用药直至痊愈。治疗期间需要给狗狗戴伊丽莎白圈,防止狗狗抓挠患处加重感染。在狗狗病情康复之后,大概一个月左右掉落的毛发才会长出来比较细软的绒毛,需要半年的时间毛发才会逐渐恢复。平时建议以狗粮饲喂为主,并且需要清淡饮食,吃太油腻、摄入盐分过多也会出现脱毛的症状。
问题大致一样,细节不同?
刘文飞
执业兽医师
根据您讲到的详细症状,我初步分析狗狗是皮肤病的症状,但仅仅根据目前的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.您家狗狗10岁大了,体重大概是5千克,出现痒,掉皮屑的症状多久了,用这个喷剂大概多长时间,有没有好转,我图片看着并没有掉皮屑的症状,皮肤比较光滑,目前狗狗有没有抓挠,舔舐皮肤的症状,当时有没有给狗狗做皮肤镜检或者都做了哪些方面的检查。
2.您养狗狗大概多长时间了,狗狗平时都吃哪种食物,最近有没有给狗狗换过食物或者吃过什么特殊的东西,骨头之类的坚硬物,导致狗狗出现呕吐的症状,呕吐的是未消化的食物,还是白色粘液,或者黄色粘液,有没有血丝,有没有腹泻的症状;
4.狗狗有没有出现咳嗽,打喷嚏,流鼻涕的症状,您正常有没有给狗狗用过什么药;
5.狗狗目前精神状态怎么样,有没有吃东西.喝水,狗狗有没有接种过疫苗,做过体内体外的驱虫。
6.狗狗居住的环境有没有突然降温,狗狗趴在垫子上,还是地板上,家里几只狗狗。
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。
1.用了一个月,没以前痒了,皮屑现在没掉了,有时还会抓,就是不长毛,不知道是不是老了,没有做皮肤镜
2.是朋友送的,我养了两年,平时吃狗粮,还有馒头 土豆 鸡肉 蛋黄,没有呕吐腹泻
3.没有咳嗽鼻涕感冒
4.有打疫苗,内外都驱虫,精神状态好
5.没有突然降温,睡垫子
刘文飞
执业兽医师
您好,狗狗主人,收到您的详细描述,治疗真菌的喷剂给狗狗喷了有一个月,一般真菌治疗就需要用药一个月左右才会好转。目前狗狗皮肤表面光滑,没有出现掉皮屑的症状,但是还有痒的表现,狗狗会抓挠,建议您给狗狗戴上伊丽莎白圈,防止狗狗抓挠,狗狗全身掉毛毛,需要康复之后,过一个月左右的时间才会长出来比较细软的绒毛(28天是毛发的生长周期)需要过半年的时间毛毛才会逐渐恢复,加上狗狗年龄比较大,毛毛会长的比较稀疏也是正常的,所以您现在继续给狗狗用药,正常饮食,平时以狗粮为主,清淡饮食,吃的比较油腻、摄入盐分过多也是会出现脱毛掉毛的症状。
刘文飞
执业兽医师
根据狗狗的情况,我给它开个处方。处方里面的1.******片,对狗狗真菌感染引起的炎症作用效果比较好,按狗狗的体重用药;2.******喷剂对狗狗皮肤表面消炎抑菌效果比较好,您可以根据需求自行选择购买(这是我们临床上用的治疗真菌感染习惯比较好的药,您参考了一下,您目前用的要是效果比较好您就坚持用,效果要是一般,您就及时换药)
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
{"304596":{"id":304596,"case_id":35998,"user_id":1345841,"to_user_id":1975451,"type":3,"content":"根据狗狗的情况,我给它开个处方。处方里面的1.******片,对狗狗真菌感染引起的炎症作用效果比较好,按狗狗的体重用药;2.******喷剂对狗狗皮肤表面消炎抑菌效果比较好,您可以根据需求自行选择购买(这是我们临床上用的治疗真菌感染习惯比较好的药,您参考了一下,您目前用的要是效果比较好您就坚持用,效果要是一般,您就及时换药)","media":{"images":{},"videos":{},"business_params":{"prescription_id":110971}},"is_doctor":1,"status":1,"created_at":"2022-05-08 11:30:50","show_rx":true,"rx_info":{"id":110971,"rx_no":2.02205081127155e+24,"user_id":1975451,"doctor_user_id":1345841,"is_independent":0,"case_id":2729638,"pet_info":{"pet_id":292518,"pet_name":"泰迪","pet_nickname":"蹦蹦","pet_gender":1,"pet_birth":"10-0","pet_weight":5,"pet_vaccination_status":1,"pet_in_insect_repellent_status":1,"pet_out_insect_repellent_status":1,"pet_age_format":"10岁"},"diagnose":"猫癣","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2022-05-08 11:27:15","updated_at":"2022-05-08 11:30:49","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":24364,"prescription_id":110971,"doctor_user_id":1345841,"product_id":722,"product_sku_id":764,"dose":0.5,"dose_unit":"片","use_method":"口服","frequency":"每天1次","days":30,"number":1,"remark":"","created_at":"2022-05-08 11:27:15","updated_at":"2022-05-08 11:27:15","product_info":{"id":722,"hash_id":"QKNDzP4DrKxewlnv","class_ids":{"0":1,"1":2},"category_ids":{"10":171},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":28,"sell_point":"真菌灭盐酸特比萘芬片 100mg","title":"保灵真菌灭 盐酸特比萘芬片 100mg×8片×2板\/盒","recommend_reason":{"0":"用于治疗犬小孢子菌等的真菌感染","1":"用于治疗马拉色菌和念球菌引起的犬猫真菌病"},"baike_guide_text":"","baike_article_hash_id":"","advword":"猫癣,皮肤病,真菌感染","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"100mg盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/7075da208931de424d29695b18293a65.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":118,"max_price":118,"sale_count":67,"tags":"","sort":0,"status":0,"delete_status":0,"created_at":"2021-12-17 15:16:44","updated_at":"2023-01-31 10:09:26","ins":{"id":28,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"盐酸特比萘芬片","trade_name":"真菌灭片","en_name":"Terbinafine Hydrochloride Tablet","brand_name":"保灵","is_prescription":0,"cover":"\/drug\/2020\/10\/caa310f5026533cdeca9aab3d44092ce.JPG","specification":"100mg×8片×2板\/盒","reference_price":200,"component":"1.盐酸特比萘芬(丙烯胺类抗真菌药,口服吸收快速良好,在毛囊、毛发、皮肤等处长时间维持较高浓度)\n2.VB2(细胞生长并不可缺的一类物质)","indication":"主要用于治疗犬小孢子菌等的真菌感染,也可用于治疗马拉色菌和念球菌等引起的犬猫皮肤真菌病和内脏真菌病。","usage_dosage":"1.口服10mg\/kg,每日一次,首次剂量加倍,14-30天为一个疗程,连用2个月安全。\n2.综合考虑起效剂量和肝肾损伤,真菌灭中盐酸特比萘芬的治疗剂量为10mg\/kg\/日。\n3.三到六月龄宠物减半服用。","contraindication":"","adverse_reaction":"不良反应轻微,常见胃肠道反应,较少发生肝炎和皮疹。","attention":"3月龄以下慎用。","interaction":"","approval_no":"","storage_method":"常温,避光,密封保存","validity":"2年","manufacturer":"天津市保灵动物保健品有限公司","status":1,"created_at":"2020-10-28 10:30:28","updated_at":"2020-10-28 10:32:50"}},"product_sku_info":{"id":764,"product_id":722,"title":"保灵真菌灭 盐酸特比萘芬片 100mg×8片×2板\/盒","advword":null,"price":118,"market_price":138,"cost_price":0,"stock":0,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"100mg盒装"}},"cover":null,"thumb":"","sale_count":74,"status":0,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 15:16:44","updated_at":"2023-01-31 10:09:26"}},"1":{"id":24365,"prescription_id":110971,"doctor_user_id":1345841,"product_id":723,"product_sku_id":765,"dose":2,"dose_unit":"毫升","use_method":"外喷","frequency":"每天2次","days":30,"number":1,"remark":"","created_at":"2022-05-08 11:27:15","updated_at":"2022-05-08 11:27:15","product_info":{"id":723,"hash_id":"er8ayRxy25p3mwNv","class_ids":{"0":1,"1":2},"category_ids":{"10":171},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":26,"sell_point":"保灵呋贝舒 盐酸特比萘芬喷剂","title":"保灵呋贝舒 盐酸特比萘芬喷剂 100ml\/瓶\/盒","recommend_reason":{"0":"用于犬、猫各种真菌性皮肤病,如犬小孢子菌、须毛癣菌等"},"baike_guide_text":"","baike_article_hash_id":"","advword":"猫癣,皮肤病,真菌感染","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"100ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2023\/03\/e0b76a03c36100ffd648ddd5efc69811.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":78,"max_price":78,"sale_count":111,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 15:18:53","updated_at":"2024-09-23 10:20:06","ins":{"id":26,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"盐酸特比萘芬喷剂","trade_name":"保特芬","en_name":"Terbinafine Hydrochloride Spray","brand_name":"保灵","is_prescription":0,"cover":"\/drug\/2020\/10\/90ea0d6954bccaa96af9ca7028287729.JPG","specification":"100ml\/瓶\/盒","reference_price":110,"component":"盐酸特比萘芬","indication":"主要用于犬、猫各种真菌性皮肤病,如犬小孢子菌、石膏样小孢子菌、须毛癣菌等引起的皮肤癣菌感染。","usage_dosage":"1.宠物外用,喷于患部,每天2-3次,每次以患部湿润为宜,4周为一疗程。\n2.如出现毛发内真菌,建议联合口服真菌灭片共同治疗。","contraindication":"怀孕和哺乳期禁用","adverse_reaction":"","attention":"1.放置于儿童不可接触的地方。\n2.月龄较小的犬猫建议小量使用。\n3.避免喷入眼鼻部位,避免舔舐或口服。\n4.怀孕和哺乳期禁用。","interaction":"","approval_no":"","storage_method":"常温,避光,密封保存","validity":"2年","manufacturer":"天津市保灵动物保健品有限公司","status":1,"created_at":"2020-10-27 18:39:59","updated_at":"2020-10-27 18:46:15"}},"product_sku_info":{"id":765,"product_id":723,"title":"保灵呋贝舒 盐酸特比萘芬喷剂 100ml\/瓶\/盒","advword":null,"price":78,"market_price":110,"cost_price":0,"stock":32,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"100ml"}},"cover":null,"thumb":"","sale_count":119,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 15:18:53","updated_at":"2024-09-22 21:26:26"}}},"drug_data_bak":{"0":{"id":24364,"prescription_id":110971,"doctor_user_id":1345841,"product_id":722,"product_sku_id":764,"dose":0.5,"dose_unit":"片","use_method":"口服","frequency":"每天1次","days":30,"number":1,"remark":"","created_at":"2022-05-08 11:27:15","updated_at":"2022-05-08 11:27:15","product_info":{"id":722,"hash_id":"QKNDzP4DrKxewlnv","class_ids":{"0":1,"1":2},"category_ids":{"10":171},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":28,"sell_point":"真菌灭盐酸特比萘芬片 100mg","title":"保灵真菌灭 盐酸特比萘芬片 100mg×8片×2板\/盒","recommend_reason":{"0":"用于治疗犬小孢子菌等的真菌感染","1":"用于治疗马拉色菌和念球菌引起的犬猫真菌病"},"baike_guide_text":"","baike_article_hash_id":"","advword":"猫癣,皮肤病,真菌感染","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"100mg盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/7075da208931de424d29695b18293a65.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":118,"max_price":118,"sale_count":67,"tags":"","sort":0,"status":0,"delete_status":0,"created_at":"2021-12-17 15:16:44","updated_at":"2023-01-31 10:09:26","ins":{"id":28,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"盐酸特比萘芬片","trade_name":"真菌灭片","en_name":"Terbinafine Hydrochloride Tablet","brand_name":"保灵","is_prescription":0,"cover":"\/drug\/2020\/10\/caa310f5026533cdeca9aab3d44092ce.JPG","specification":"100mg×8片×2板\/盒","reference_price":200,"component":"1.盐酸特比萘芬(丙烯胺类抗真菌药,口服吸收快速良好,在毛囊、毛发、皮肤等处长时间维持较高浓度)\n2.VB2(细胞生长并不可缺的一类物质)","indication":"主要用于治疗犬小孢子菌等的真菌感染,也可用于治疗马拉色菌和念球菌等引起的犬猫皮肤真菌病和内脏真菌病。","usage_dosage":"1.口服10mg\/kg,每日一次,首次剂量加倍,14-30天为一个疗程,连用2个月安全。\n2.综合考虑起效剂量和肝肾损伤,真菌灭中盐酸特比萘芬的治疗剂量为10mg\/kg\/日。\n3.三到六月龄宠物减半服用。","contraindication":"","adverse_reaction":"不良反应轻微,常见胃肠道反应,较少发生肝炎和皮疹。","attention":"3月龄以下慎用。","interaction":"","approval_no":"","storage_method":"常温,避光,密封保存","validity":"2年","manufacturer":"天津市保灵动物保健品有限公司","status":1,"created_at":"2020-10-28 10:30:28","updated_at":"2020-10-28 10:32:50"}},"product_sku_info":{"id":764,"product_id":722,"title":"保灵真菌灭 盐酸特比萘芬片 100mg×8片×2板\/盒","advword":null,"price":118,"market_price":138,"cost_price":0,"stock":0,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"100mg盒装"}},"cover":null,"thumb":"","sale_count":74,"status":0,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 15:16:44","updated_at":"2023-01-31 10:09:26"}},"1":{"id":24365,"prescription_id":110971,"doctor_user_id":1345841,"product_id":723,"product_sku_id":765,"dose":2,"dose_unit":"毫升","use_method":"外喷","frequency":"每天2次","days":30,"number":1,"remark":"","created_at":"2022-05-08 11:27:15","updated_at":"2022-05-08 11:27:15","product_info":{"id":723,"hash_id":"er8ayRxy25p3mwNv","class_ids":{"0":1,"1":2},"category_ids":{"10":171},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":26,"sell_point":"保灵呋贝舒 盐酸特比萘芬喷剂","title":"保灵呋贝舒 盐酸特比萘芬喷剂 100ml\/瓶\/盒","recommend_reason":{"0":"用于犬、猫各种真菌性皮肤病,如犬小孢子菌、须毛癣菌等"},"baike_guide_text":"","baike_article_hash_id":"","advword":"猫癣,皮肤病,真菌感染","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"100ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2023\/03\/e0b76a03c36100ffd648ddd5efc69811.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":78,"max_price":78,"sale_count":111,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 15:18:53","updated_at":"2024-09-23 10:20:06","ins":{"id":26,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"盐酸特比萘芬喷剂","trade_name":"保特芬","en_name":"Terbinafine Hydrochloride Spray","brand_name":"保灵","is_prescription":0,"cover":"\/drug\/2020\/10\/90ea0d6954bccaa96af9ca7028287729.JPG","specification":"100ml\/瓶\/盒","reference_price":110,"component":"盐酸特比萘芬","indication":"主要用于犬、猫各种真菌性皮肤病,如犬小孢子菌、石膏样小孢子菌、须毛癣菌等引起的皮肤癣菌感染。","usage_dosage":"1.宠物外用,喷于患部,每天2-3次,每次以患部湿润为宜,4周为一疗程。\n2.如出现毛发内真菌,建议联合口服真菌灭片共同治疗。","contraindication":"怀孕和哺乳期禁用","adverse_reaction":"","attention":"1.放置于儿童不可接触的地方。\n2.月龄较小的犬猫建议小量使用。\n3.避免喷入眼鼻部位,避免舔舐或口服。\n4.怀孕和哺乳期禁用。","interaction":"","approval_no":"","storage_method":"常温,避光,密封保存","validity":"2年","manufacturer":"天津市保灵动物保健品有限公司","status":1,"created_at":"2020-10-27 18:39:59","updated_at":"2020-10-27 18:46:15"}},"product_sku_info":{"id":765,"product_id":723,"title":"保灵呋贝舒 盐酸特比萘芬喷剂 100ml\/瓶\/盒","advword":null,"price":78,"market_price":110,"cost_price":0,"stock":32,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"100ml"}},"cover":null,"thumb":"","sale_count":119,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 15:18:53","updated_at":"2024-09-22 21:26:26"}}}}}}
微信扫一扫
立即问宠医