咨询描述：症状描述：边牧十三岁半，四肢肘部you癣，左前肘最严重。用的****
回复总结：狗狗长藓考虑是真菌感染的情况，需要给狗狗口服治疗真菌的药，外喷治疗真菌的喷剂，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，做体外驱虫可以很好的降低狗狗真菌感染的风险。用药期间最好给狗狗除了吃饭喝水戴上嘴套子，再把狗狗的指甲修剪平整。其次，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，自己照顾完狗狗后也需要洗手、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，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.您家狗狗十三岁半了，体重大概是20千克，您家狗狗多久洗一次澡，用的是什么浴液，是不是宠物专用的，洗完有没有吹干，狗狗是在笼子里养的，还是栓养的或者散养，肘部有没有摩擦比较严重，您有没有给狗狗用药，狗狗有没有抓挠舔舐的症状
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。
两到三周洗澡一次，专用沐浴露，大型吹水机吹干，吃老年犬粮，用的****效果不明显
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，狗狗是真菌感染，需要给狗狗口服治疗真菌的药，外喷治疗真菌的喷剂，建议给狗狗把狗狗肘部的毛毛剃掉，用药效果比较好，真菌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，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真菌感染的风险。真菌感染周期比较长，用药期间最好给狗狗除了吃饭喝水戴上嘴套子，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，给狗狗住的地方铺上比较软的垫子，尽量避免狗狗肘部摩擦硬物，以上建议您可以参考一下。
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。
狗狗已经十三岁半了，后腿明显没有劲了，我们还需要注意什么？或者给它补充什么？
刘文飞
执业兽医师
您好，狗狗主人，狗狗13岁半了，已经是老龄犬了，您需要给狗狗补钙，每天按照狗狗的体重给狗狗补钙，年龄大了之后钙容易流失，然后给狗狗清淡饮食，适当的活动，尽量少爬楼梯。
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
{"356609":{"id":356609,"case_id":41250,"user_id":1345841,"to_user_id":2035582,"type":3,"content":"根据狗狗的情况，我给它开个处方。处方里面的\n1.*****片对狗狗真菌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。","media":{"images":{},"videos":{},"business_params":{"prescription_id":115803}},"is_doctor":1,"status":1,"created_at":"2022-06-27 14:06:36","show_rx":true,"rx_info":{"id":115803,"rx_no":2.02206271406325e+24,"user_id":2035582,"doctor_user_id":1345841,"is_independent":0,"case_id":2792835,"pet_info":{"pet_id":305344,"pet_name":"边境牧羊犬","pet_nickname":"Andy","pet_gender":1,"pet_birth":"13-5","pet_weight":20,"pet_vaccination_status":0,"pet_in_insect_repellent_status":1,"pet_out_insect_repellent_status":1,"pet_age_format":"13岁5个月"},"diagnose":"真菌感染","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2022-06-27 14:06:32","updated_at":"2022-06-27 14:06:36","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":35196,"prescription_id":115803,"doctor_user_id":1345841,"product_id":722,"product_sku_id":764,"dose":2,"dose_unit":"片","use_method":"口服","frequency":"每天1次","days":30,"number":1,"remark":"","created_at":"2022-06-27 14:06:32","updated_at":"2022-06-27 14:06:32","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,"created_at":"2021-12-17 15:16:44","updated_at":"2023-01-31 10:09:26"}},"1":{"id":35197,"prescription_id":115803,"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":"2022-06-27 14:06:32","updated_at":"2022-06-27 14:06:32","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":107,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 15:18:53","updated_at":"2024-03-29 09:07:31","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":36,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"100ml"}},"cover":null,"thumb":"","sale_count":115,"status":1,"delete_status":0,"created_at":"2021-12-17 15:18:53","updated_at":"2024-03-28 23:47:39"}}},"drug_data_bak":{"0":{"id":35196,"prescription_id":115803,"doctor_user_id":1345841,"product_id":722,"product_sku_id":764,"dose":2,"dose_unit":"片","use_method":"口服","frequency":"每天1次","days":30,"number":1,"remark":"","created_at":"2022-06-27 14:06:32","updated_at":"2022-06-27 14:06:32","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,"created_at":"2021-12-17 15:16:44","updated_at":"2023-01-31 10:09:26"}},"1":{"id":35197,"prescription_id":115803,"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":"2022-06-27 14:06:32","updated_at":"2022-06-27 14:06:32","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":107,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 15:18:53","updated_at":"2024-03-29 09:07:31","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":36,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"100ml"}},"cover":null,"thumb":"","sale_count":115,"status":1,"delete_status":0,"created_at":"2021-12-17 15:18:53","updated_at":"2024-03-28 23:47:39"}}}}}}
微信扫一扫
立即问宠医
