咨询描述:今天发现狗狗一阵一阵的像视频那样颤动 想问一下医生这是不是癫痫
回复总结:狗狗头部有颤抖的症状,考虑是由于神经炎或者癫痫导致的问题。处理方案上,最好带狗狗去附近宠物医院就诊,检查确诊并且判断发病程度,然后针对性给予治疗。如果暂时不方便就诊,建议先给狗狗口服宠物专用广谱消炎药,同时配合服用缓解神经水肿的药物以及营养神经的药物。用药后观察4-5天的时间,如果有效果,可以持续用药1-2周左右,直到疾病康复为止即可。然后,建议不能让狗狗过于兴奋、激动,也不能受到惊吓。
问题大致一样,细节不同?
陈奕达
执业兽医师
根据您讲到的信息,我暂时还不能做出进一步的判断。我还有几个问题需要向您核实一下:
1. 狗狗您养了多久?发病多久了?
2. 狗狗之前最近一段时间是否有感冒的问题?
3. 狗狗视频上这种抖动,是一直持续性的,还是断断续续的出现?是否有规律性?
4. 狗狗发病之后,是否有用药?是否有检查?
5.狗狗的疫苗,以及驱虫情况如何?
6.狗狗吃喝,精神状态如何?是否可以正常站立行走?
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,把您家爱宠具体的『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。
1、今年是养他的第五年
2、没有感冒
3、断断续续的,有规律性
4、没有用药 也没有检查 今天五点半左右才发现的
5、今天疫苗七月份才到时间打,每月都体外驱虫
6、最近两天吃饭不太好,精神状态一般,不像视频那样颤动的情况下会正常站立行走
7、体重4.6斤
陈奕达
执业兽医师
根据您描述的症状以及提供的信息,以个人的经验判断宝贝很有可能是由于神经炎或者癫痫的问题,从而导致了一系列症状(发病位置大概在头部)。
狗狗这种情况,最佳方案就是带狗狗去附近宠物医院就诊,进一步检查确诊,并且判断发病程度,然后针对性给予用药治疗,效果最好,最为安全稳妥。
如果暂时不方便就诊,可以在家先给宝贝吃一些宠物专用广谱消炎,抗炎,缓解神经水肿,营养神经,以及镇静方面的口服药来进行治疗,观察4-5天的时间。如果有效果,可以持续用药1-2周左右。直到疾病康复为止即可。
然后最近一段时间,不能让狗狗过于兴奋,激动。不能受到惊吓。不能着凉。
如果考虑在家保守治疗,您可以告诉我,然后这边可以帮您开具一套用药,并且帮您计算好用法用量,供您采纳参考一下。
陈奕达
执业兽医师
您好,这边根据狗狗的情况,我给宝贝开个处方。供您采纳参考一下。您可以点击查看详情按钮,进入处方页面查看。
处方里面的
1. **,宠物专用广谱消炎,控制炎症。
2. 维生素口服液,补充维生素,可以起到营养神经效果。
3. ***,宠物专用抗炎用药,缓解炎症,缓解神经水肿。
4.***,宠物专用镇静用药,可以起到抗癫痫效果。
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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15:58:02","ins":{"id":3,"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\/46c3ccae52804b92b0e341800e809e95.JPG","specification":"50mg×10片×10板\/盒","reference_price":800,"component":"阿莫西林和克拉维酸钾","indication":"适用于犬猫由敏感细菌引起的各种感染,及治疗犬猫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1-2kg,吃半粒; \n体重3-5kg,吃1粒; \n体重6-9kg,吃2粒;\n体重10-13kg,吃3粒;\n体重14-18kg,吃4粒;\n体重≥19kg,请购买同品250mg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10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":"2020-10-21 13:48:10","updated_at":"2020-10-23 15:55:39"}},"product_sku_info":{"id":755,"product_id":712,"title":"辉瑞速诺(阿莫西林克拉维酸钾片) 50mg×10片\/板","advword":null,"price":48,"market_price":59,"cost_price":0,"stock":9240,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50mg规格1板"}},"cover":null,"thumb":"","sale_count":1817,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:50:13","updated_at":"2024-11-24 11:58:14"}},"3":{"id":35059,"prescription_id":115737,"doctor_user_id":1249218,"product_id":903,"product_sku_id":944,"dose":7,"dose_unit":"mg","use_method":"口服","frequency":"每天2次","days":14,"number":1,"remark":"","created_at":"2022-06-26 19:29:14","updated_at":"2022-06-26 19:29:14","product_info":{"id":903,"hash_id":"yZ893BxE2zpE2mkO","class_ids":{"0":2},"category_ids":{"0":199},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":208,"sell_point":"拜维安苯巴比妥片 30mg","title":"拜卡拜维安苯巴比妥片 30mg×8片×2板\/盒","recommend_reason":{"0":"具有镇静、抗惊厥抗癫痫的作用","1":"用于缓解脑炎、破伤风、中毒所致的惊厥等"},"baike_guide_text":"","baike_article_hash_id":"","advword":"猫癫痫,脑炎,惊厥,镇静","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"16片盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2022\/01\/9d9b0af67cc19392cd6943afe5e82a0a.JPG","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":68,"max_price":68,"sale_count":1537,"tags":"","sort":0,"status":0,"delete_status":0,"created_at":"2022-01-14 11:42:41","updated_at":"2024-10-02 14:26:23","ins":{"id":208,"hash_id":"ekz3bB4vX6xdKJMv","class_ids":"{\u00221\u0022:2}","title":"拜维安苯巴比妥片","common_name":"苯巴比妥片","trade_name":"拜维安","en_name":"phenobarbital tablets","brand_name":"拜卡","is_prescription":1,"cover":"\/drug\/2022\/01\/643dfa4475b613f3c9df415d1cd500bd.JPG","specification":"30mg×8片×2板\/盒","reference_price":110,"component":"苯巴比妥","indication":"1.具有镇静、抗惊厥抗癫痫的作用。\n2.还用于缓解脑炎、破伤风、中毒所致的惊厥等。","usage_dosage":"用于抗癫痫治疗时,犬的口服推荐剂量是2.5-3mg\/kg,每天2次;猫的口服推荐剂量是1-2mg\/kg,每天2次。\n另外:\n1.用于镇静:2.2-6.6mg\/kg 口服,每天2次\n2.治疗肠应激综合征:2.2mg\/kg,口服,每天2次\n3.强迫症的支持治疗:2-20mg\/kg,每12-24小时一次\n4.精神性皮肤病:犬:0.5-2.2mg\/kg 猫:每只15mg,每周2次\n5.控制猫应激时的吼叫(如驾车时):2-3mg\/kg,口服\n6.抗破伤风等导致的惊厥:1-4mg\/kg,口服,每天2次","contraindication":"肝肾功能不全、支气管哮喘或呼吸抑制的患病动物禁用。严重贫血、心脏疾患的患病动物及怀孕动物慎用。","adverse_reaction":"常见的不良反应有镇静、共济失调、多食、多饮、多尿等,相对犬而言,猫的多饮多尿较为少见。体重的增加是服用苯巴比妥药物的常见问题,而且这可能是个无法避免的副作用,要控制饮食,尽管宠物表现的很饿。肝毒性进展是一种罕见的并发症,显着的肝毒性的临床特征包括厌食、沉郁、腹水和偶见的黄疸,偶见肝性皮肤病,极少数病例可引起贫血、血小板减少和中性粒细胞的减少,其它不常见副反应有面部或全身性的瘙痒、免疫介导的超敏反应,如发烧、皮疹和淋巴结增大,引起胰腺炎、猫假性淋巴瘤(罕见),通常这些不良反应在停药和适当的治疗后,是可逆的。","attention":"1.中毒时可用安钠咖、戊四氮、尼可刹米等中枢兴奋药解救。\n2.内服中毒的初期,可先用1:2000的高锰酸钾洗胃,再以硫酸钠(忌用硫酸镁)导泻,并结合用碳酸氢钠碱化尿液以加速药物排泄。","interaction":"","approval_no":"兽药字150041224","storage_method":"常温通风的环境。","validity":"3年","manufacturer":"济宁万禾生物科技有限公司","status":0,"created_at":"2022-01-14 11:40:13","updated_at":"2024-10-10 10:53:01"}},"product_sku_info":{"id":944,"product_id":903,"title":"拜卡拜维安苯巴比妥片 30mg×8片×2板\/盒","advword":null,"price":68,"market_price":110,"cost_price":0,"stock":786,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"16片盒装"}},"cover":null,"thumb":"","sale_count":1571,"status":0,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2022-01-14 11:42:41","updated_at":"2024-10-02 13:20:05"}}}}}}
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