咨询描述:新买的小狗两个月接回家发现身上有很多皮屑,而且特别痒 就立刻去医院了,医生刮片检查说是螨虫,具体什么螨也没给我说,开了喷剂用了一个星期效果不明显,耳朵也开始很臭了,而且耳朵边缘变厚,四肢上都有皮屑。我又换了一家医院,然后这家医院检查说是细菌感染外加有真菌,开了药浴,洗了两次,中间间隔4天。吃的药在下面图片,治疗一个多星期也不见好转,狗狗特别痒,一直抓一直叫,下面是最近的皮肤图片
回复总结:狗狗身上有很多皮屑考虑是是细菌、真菌混合感染导致,需要给狗狗口服治疗真菌混合感染的药,外喷治疗细菌真菌混合感染的喷剂,期间需要坚持用药,不能停药,一般需要每三个月给狗狗做一次体内驱虫,每个月做一次体外驱虫。用药期间最好给狗狗戴上伊丽莎白圈,再把狗狗的指甲修剪平整,狗狗居住的环境也需要彻底的大消毒,如果有老人和孩子不要让他们接触到狗狗,因为狗狗是真菌感染,会传染给人,自己照顾完狗狗也需要洗手、消毒。
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,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.您家狗狗两个月了,体重大概是多少,狗狗目前皮肤确诊是细菌真菌混合感染,给狗狗开的药浴的药、吃的药您把名字或者图片发我,狗狗耳朵里是不是分泌黏腻的黑色物质,洗澡、药浴的时候有没有进到水
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
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。
狗狗目前两个半月大,4月24日做的体内外驱虫。目前已接种两针疫苗。体重1.7公斤。耳朵分泌物黄褐色,没洗澡之前耳朵就已经臭了,后面给他清理了要好些,但还是臭,我养狗狗半个月了,一直都是狗粮喂养,没吃过别的东西,目前一切都正常,就只有皮肤问题,药浴用的是派奥结,吃的药是爱波克,一天两次,每次一颗的1/4。 还有一个保肤康,一天一颗
为保护用户隐私不显示图片/视频
刘文飞
执业兽医师
您好,狗狗主人,收到您的详细描述,根据您的描述结合您发的狗狗患部的照片来看,临床检查确诊是细菌、真菌混合感染,需要给狗狗口服治疗真菌真菌混合感染的药,外喷治疗细菌真菌混合感染的喷剂,狗狗毛毛比较长,加上全身感染,建议给狗狗把毛毛剃掉,穿一件衣服,药浴效果比较好,真菌细菌混合感染治疗周期比较长,一般需要用药一个月左右才会逐渐恢复,期间需要坚持用药,不能停药,如果断断续续用药会使狗狗产生耐药性,延长治疗周期,如果用药一周或者几天是看不到大的变化的,一般需要每三个月给狗狗做一次体内驱虫,每个月做一次体外驱虫,做体外驱虫可以很好的降低狗狗皮肤病的风险。真菌细菌混合感染周期比较长,用药期间最好给狗狗除了吃饭喝水戴上伊丽莎白圈,再把狗狗的指甲修剪平整,防止狗狗出现抓挠,舔舐的症状,会有利于狗狗皮肤的早日康复。狗狗住的环境需要彻底的大消毒,以后每周消一次毒,狗窝拿出去晒晒太阳,有助于杀菌消毒,家里有没有老人和小孩,如果有老人和孩子建议不要让他们接触到狗狗,因为狗狗是真菌感染,会传染给人,老人和小孩皮肤免疫力抵抗力比较差,比较易感,所以不建议接触,您自己照顾完狗狗也需要洗手、消毒,目前狗狗药浴的药,建议每周做两次,狗狗皮肤好转之后可以转为每周一次,保肤康可以继续给狗狗吃,*******片建议您看一下说明,如果三月龄以下的狗狗可以吃,您再继续给狗狗吃,要是三月零以下的狗狗不能吃建议把药停掉。以上建议您可以参考一下。
刚体内外驱虫不到一个月,到时间会再去医院驱虫的,剃毛的话是去宠物店里面吗?我不会剃毛,需要吃什么药,买什么药来喷呢?
刘文飞
执业兽医师
您好,狗狗主人,您可以去宠物医院给狗狗剃毛毛,然后真菌感染的药物一般三月龄以下的狗狗不建议吃,吃完损伤狗狗的肝脏和肾脏,您仔细看一下您买的药的说明狗狗要是可以吃您就给狗狗吃,喷剂我推荐您
根据狗狗的情况,我给它开个处方。处方里面的1.******喷剂对狗狗皮肤细菌真菌感染消炎抑菌效果比较好,用药时避开眼睛、嘴巴、鼻子
刘文飞
执业兽医师
您好,狗狗主人,狗狗耳朵是耳螨的症状,可以给狗狗把耳毛拔掉,您要是自己不敢操作,建议领它去宠物医院剃毛毛的时候一起把耳毛拔掉,然后再用脱脂棉把耳朵里面分泌的黏腻的东西擦干净,再涂抹上耳肤灵,坚持用药两周左右耳朵的症状就会有所好转,用药一个月狗狗就会康复,用药期间给狗狗戴上伊丽莎白圈,防止狗狗抓挠,有利于狗狗早日康复。
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
{"333129":{"id":333129,"case_id":38874,"user_id":1345841,"to_user_id":1963261,"type":3,"content":"您好,狗狗主人,您可以去宠物医院给狗狗剃毛毛,然后真菌感染的药物一般三月龄以下的狗狗不建议吃,吃完损伤狗狗的肝脏和肾脏,您仔细看一下您买的药的说明狗狗要是可以吃您就给狗狗吃,喷剂我推荐您\n根据狗狗的情况,我给它开个处方。处方里面的1.******喷剂对狗狗皮肤细菌真菌感染消炎抑菌效果比较好,用药时避开眼睛、嘴巴、鼻子","media":{"images":{},"videos":{},"business_params":{"prescription_id":111178}},"is_doctor":1,"status":1,"created_at":"2022-05-10 10:51:37","show_rx":true,"rx_info":{"id":111178,"rx_no":2.02205101051335e+24,"user_id":1963261,"doctor_user_id":1345841,"is_independent":0,"case_id":2732288,"pet_info":{"pet_id":289970,"pet_name":"泰迪","pet_nickname":"喜喜","pet_gender":2,"pet_birth":"0-2","pet_weight":2,"pet_vaccination_status":1,"pet_in_insect_repellent_status":1,"pet_out_insect_repellent_status":1,"pet_age_format":"2个月"},"diagnose":"细菌真菌混合感染","signature":"","deadline":null,"status":1,"send_status":1,"use_status":1,"created_at":"2022-05-10 10:51:33","updated_at":"2022-05-12 11:11:49","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":24841,"prescription_id":111178,"doctor_user_id":1345841,"product_id":723,"product_sku_id":765,"dose":2,"dose_unit":"毫升","use_method":"外喷","frequency":"每天3次","days":30,"number":1,"remark":"","created_at":"2022-05-10 10:51:33","updated_at":"2022-05-10 10:51:33","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":24841,"prescription_id":111178,"doctor_user_id":1345841,"product_id":723,"product_sku_id":765,"dose":2,"dose_unit":"毫升","use_method":"外喷","frequency":"每天3次","days":30,"number":1,"remark":"","created_at":"2022-05-10 10:51:33","updated_at":"2022-05-10 10:51:33","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"}}}}},"333131":{"id":333131,"case_id":38874,"user_id":1345841,"to_user_id":1963261,"type":3,"content":"您好,狗狗主人,狗狗耳朵是耳螨的症状,可以给狗狗把耳毛拔掉,您要是自己不敢操作,建议领它去宠物医院剃毛毛的时候一起把耳毛拔掉,然后再用脱脂棉把耳朵里面分泌的黏腻的东西擦干净,再涂抹上耳肤灵,坚持用药两周左右耳朵的症状就会有所好转,用药一个月狗狗就会康复,用药期间给狗狗戴上伊丽莎白圈,防止狗狗抓挠,有利于狗狗早日康复。","media":{"images":{},"videos":{},"business_params":{"prescription_id":111182}},"is_doctor":1,"status":1,"created_at":"2022-05-10 11:20:13","show_rx":true,"rx_info":{"id":111182,"rx_no":2.02205101118235e+24,"user_id":1963261,"doctor_user_id":1345841,"is_independent":0,"case_id":2732288,"pet_info":{"pet_id":289970,"pet_name":"泰迪","pet_nickname":"喜喜","pet_gender":2,"pet_birth":"0-2","pet_weight":2,"pet_vaccination_status":1,"pet_in_insect_repellent_status":1,"pet_out_insect_repellent_status":1,"pet_age_format":"2个月"},"diagnose":"耳螨","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2022-05-10 11:18:23","updated_at":"2022-05-10 11:20:13","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":24848,"prescription_id":111182,"doctor_user_id":1345841,"product_id":719,"product_sku_id":761,"dose":1,"dose_unit":"厘米","use_method":"涂抹","frequency":"每天1次","days":30,"number":1,"remark":"","created_at":"2022-05-10 11:18:23","updated_at":"2022-05-10 11:18:23","product_info":{"id":719,"hash_id":"02EmLAg020po1NwW","class_ids":{"0":1,"1":2},"category_ids":{"0":180},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":81,"sell_point":"耳肤灵 复方制霉菌素软膏","title":"威隆耳肤灵 复方制霉菌素软膏 10g\/支\/盒","recommend_reason":{"0":"用于宠物耳螨,细菌性耳炎,真菌耳炎,耳痒,流脓","1":"用于宠物日常护理,除臭去垢,消肿止痒等"},"baike_guide_text":"","baike_article_hash_id":"","advword":"耳螨,细菌性耳炎,真菌耳炎,耳痒,流脓,中耳炎","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"10g"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/0f029a6a91f74b81ebbb12202f072aac.png","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":98,"max_price":98,"sale_count":139,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 14:41:10","updated_at":"2024-11-22 09:13:39","ins":{"id":81,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"复方制霉菌素软膏","trade_name":"耳肤灵","en_name":"Compound Nystatin Ointment","brand_name":"威隆","is_prescription":0,"cover":"\/drug\/2020\/11\/4a3baa3a0e8f0d632c635b1dd6f13ff8.png","specification":"10g\/支\/盒","reference_price":130,"component":"硫酸新霉素,制霉菌素,氯菊酯曲安奈德","indication":"1.用于宠物耳螨,细菌性耳炎,真菌耳炎,耳痒,流脓。\n2.也可用于宠物日常护理,除臭去垢,消肿止痒等。","usage_dosage":"1.外用药每日一次,直至康复。耳螨疗程一般3到4周。如患中耳炎,需搭配抗生素治疗,连续用药两周。\n2.首先应清洁耳朵外部,再取适量豌豆粒大小的药量,挤入耳道内。\n3.轻轻按摩耳朵根部10秒,让液体均匀覆盖在耳道黏膜上。","contraindication":"","adverse_reaction":"","attention":"1.用药前检查耳朵鼓膜完整性,不要让药膏污染被毛,特别是要防止猫舔。\n2.本品仅动物使用。\n3.放置到儿童不能拿到的位置。","interaction":"","approval_no":"(2016)外兽药证字39号","storage_method":"密封保存。","validity":"3年","manufacturer":"法国威隆制药股份有限公司Vetoquinol S.A.","status":1,"created_at":"2020-11-09 16:40:33","updated_at":"2020-11-09 16:40:33"}},"product_sku_info":{"id":761,"product_id":719,"title":"威隆耳肤灵 复方制霉菌素软膏 10g\/支\/盒","advword":null,"price":98,"market_price":120,"cost_price":0,"stock":25,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"10g"}},"cover":null,"thumb":"","sale_count":151,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 14:41:10","updated_at":"2024-11-21 19:02:43"}}},"drug_data_bak":{"0":{"id":24848,"prescription_id":111182,"doctor_user_id":1345841,"product_id":719,"product_sku_id":761,"dose":1,"dose_unit":"厘米","use_method":"涂抹","frequency":"每天1次","days":30,"number":1,"remark":"","created_at":"2022-05-10 11:18:23","updated_at":"2022-05-10 11:18:23","product_info":{"id":719,"hash_id":"02EmLAg020po1NwW","class_ids":{"0":1,"1":2},"category_ids":{"0":180},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":81,"sell_point":"耳肤灵 复方制霉菌素软膏","title":"威隆耳肤灵 复方制霉菌素软膏 10g\/支\/盒","recommend_reason":{"0":"用于宠物耳螨,细菌性耳炎,真菌耳炎,耳痒,流脓","1":"用于宠物日常护理,除臭去垢,消肿止痒等"},"baike_guide_text":"","baike_article_hash_id":"","advword":"耳螨,细菌性耳炎,真菌耳炎,耳痒,流脓,中耳炎","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"10g"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/0f029a6a91f74b81ebbb12202f072aac.png","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":98,"max_price":98,"sale_count":139,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 14:41:10","updated_at":"2024-11-22 09:13:39","ins":{"id":81,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"复方制霉菌素软膏","trade_name":"耳肤灵","en_name":"Compound Nystatin Ointment","brand_name":"威隆","is_prescription":0,"cover":"\/drug\/2020\/11\/4a3baa3a0e8f0d632c635b1dd6f13ff8.png","specification":"10g\/支\/盒","reference_price":130,"component":"硫酸新霉素,制霉菌素,氯菊酯曲安奈德","indication":"1.用于宠物耳螨,细菌性耳炎,真菌耳炎,耳痒,流脓。\n2.也可用于宠物日常护理,除臭去垢,消肿止痒等。","usage_dosage":"1.外用药每日一次,直至康复。耳螨疗程一般3到4周。如患中耳炎,需搭配抗生素治疗,连续用药两周。\n2.首先应清洁耳朵外部,再取适量豌豆粒大小的药量,挤入耳道内。\n3.轻轻按摩耳朵根部10秒,让液体均匀覆盖在耳道黏膜上。","contraindication":"","adverse_reaction":"","attention":"1.用药前检查耳朵鼓膜完整性,不要让药膏污染被毛,特别是要防止猫舔。\n2.本品仅动物使用。\n3.放置到儿童不能拿到的位置。","interaction":"","approval_no":"(2016)外兽药证字39号","storage_method":"密封保存。","validity":"3年","manufacturer":"法国威隆制药股份有限公司Vetoquinol S.A.","status":1,"created_at":"2020-11-09 16:40:33","updated_at":"2020-11-09 16:40:33"}},"product_sku_info":{"id":761,"product_id":719,"title":"威隆耳肤灵 复方制霉菌素软膏 10g\/支\/盒","advword":null,"price":98,"market_price":120,"cost_price":0,"stock":25,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"10g"}},"cover":null,"thumb":"","sale_count":151,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 14:41:10","updated_at":"2024-11-21 19:02:43"}}}}}}
微信扫一扫
立即问宠医