咨询描述:之前开过药之后还是继续蹭,没有明显好转。在实体店检查的时候医生说毛色比较黑,应该有跳蚤,做了驱虫。请问现在应该怎么办?爪子感觉也受伤了,自己在咬爪子
回复总结:如果猫咪得了疱疹会出现的症状有脓疱、斑块、痂皮、瘙痒等。如果症状严重,还可能继发脓皮病,会出现糜烂,溃疡和大量的渗出物。如果想要确诊是不是疱疹,是需要进行细胞学检查的。如果猫咪确定得了疱疹综合征,治疗方面需要长期使用免疫抑制剂,一天2次,连用7天,然后剂量减半连用7天,再剂量减半,长期使用。同时,还需要配合服用宠物专用广谱抗生素,控制继发的脓皮症,一天两次,连用10天。
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,我初步判断可能有异位性皮炎或者有自体免疫性疾病,爪部可能有浆细胞爪部皮炎,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,平时的饮食怎么样的,你给他具体是吃了些什么东西?
2. 他具体是什么时候开始出现这些问题的呢?当时去医院检查有没有做皮肤刮片?有没有先排除一下蠕形螨?
3. 他平时的生活环境是什么样的,是笼养还是散养的呀?
4. 它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。
平时就是吃猫粮,偶尔吃猫条和罐头,其他的都没吃。出问题是去年年底,当时去医院做了检查,不知道是不是皮肤刮片,反正是做了显微镜的观察,说看起来没有明显的细菌,但是不确定,说因为有一些简单的检查不好查,要确认的花需要进一步的检查。散养在家里,笼子很少用,破皮以后笼子一段时间,蹭的更厉害就没用了。食欲还行,大小便正常
郭秋萍
执业兽医师
从你发的猫咪的图片来看,他最有可能的是有两种疾病一种是天疱疮综合征,这个是一种免疫性疾病,另外一种就是有蠕形螨感染。
因为你家猫咪是扁脸猫,所以从他的这个品种来看,得天疱疮综合征的可能性会更大一些。
该综合征包括一系列的自身免疫性,疾病发病机理是对表皮不同位点的桥粒抗原产生自己抗体导致。
这种自身免疫过程会导致角质形成细胞分离,且在表皮不同水平形成脓疱。典型病变是斑块,大的脓疱和痂皮,瘙痒。常见继发脓皮病,会出现糜烂,溃疡和大量的渗出物。
诊断是需要进行细胞学检查,观察棘细胞和中性粒细胞,临床特点和组织活检可确诊。
治疗是需要长期使用免疫抑制剂,比如****,***,***,****等。
你家猫咪现在多重呢?
郭秋萍
执业兽医师
单纯的细胞学检查也就***块钱左右,但是如果是后面做活检,这个要麻醉,估计要个***块钱左右,地区不同,费用会有所差别。
长期治疗的话要根据检查结果看用什么样的药物,****他的副作用是最大的,他的价格是最便宜的。其他的环孢菌素这个价格比较贵,一瓶估计要一两千,可以吃三个月左右。
根据猫咪的情况,我给它开个处方。处方里面的1. **,控制继发的脓皮症,一天两次,一次1.5片,连用10天。
2.****,免疫抑制,一天2次,一次1片,连用7天,然后剂量减半连用7天,再剂量减半,长期使用。
意思是暂时当做这个问题处理对吗?需要进行螨虫那个的处理吗?
郭秋萍
执业兽医师
这个我只是把这个的处方开给你,你最好是先去医院确诊,确诊之后你可以按着我这个处方用药不是说现在直接这样就用药物。
蠕形螨肯定是需要筛查的。
天胞疮综合征细胞检测还不够,必须要活体检测才可以确认治疗方案对吗
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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