咨询描述：症状描述：上周周末体检，医生反馈有猫藓和肠道细菌还有耳螨，耳螨涂几天药，已经干净了。猫藓买了下头挺贵的喷雾喷了一周，没什么用，嘴套子的脱毛范围还是一直在扩大。包括这个肠道的细菌也不知道具体是什么情况。请问这个猫藓怎样能一两周好啊，环境中的猫藓病毒如何消毒。我最近免疫力不好，怕传染上自己。也要接另一只猫了，所以希望这只猫的猫藓和肠道问题尽快好，也要环境消毒。
回复总结：针对猫咪感染猫癣的情况，用药治疗方面建议给猫咪使用宠物专用杀菌消毒的外用喷剂药物佩满康宠物皮肤喷剂。其次，如果想让猫咪快速恢复，除了正常外用药之外，还可以配合给猫咪口服鱼油、维生素之类的皮肤保健品，提高猫咪皮肤免疫力，起到辅助治疗的效果。注意，如果猫咪年龄太小了，没有办法使用专门的抗猫癣药物，因为药物刺激性比较大，建议多晒太阳日常饮食辅助提升免疫力
问题大致一样，细节不同？
邓薄鸿
执业兽医师
您好，看到您描述的情况了，你肠道的话我看他化验结果上写的是寄生虫有一个+，他是有寄生虫不是单纯的细菌的，寄生虫的话需要看他具体是什么寄生虫才可以，而且还要看他寄生虫的量多少。其次的话像猫癣的话没有什么快速回复的，你猫癣除了正常外用药之外，你如果说想让他再快点回复的话就是配合口服一些鱼油含有维生素之类，这种提高皮肤免疫力辅助治疗的，因为你现在这个年龄太小了，没有办法是专门的抗猫癣的药物的，有的自身免疫力比较差的猫癣可能都需要一到两个月的
所以你看我拍的那些药，开的是正确的吗？
那个喷雾喷了一周了，嘴套子边上的毛脱得更多了。猫藓也没有感觉变好。然后还把毛搞得湿乎乎的，应该是有油的成分，那个毛也不会变干。
还有这个肠道的这个药因为他当时就给我看了个视频，有那种动来动去的小虫子，我也不知道具体是什么虫。
后来我让开猫舍的朋友看了，他怀疑这个医生坑我。
所以我才买线上的问诊，希望别的医生帮我看看。
邓薄鸿
执业兽医师
就是如果说，你要是看到有动的小虫子的话，就是代表有寄生虫的，你这个药物的话，我看他应该开的是***，是管滴虫。如果说滴虫的话，一般需要连续用药一到两周，而且复发率比较高，需要定期复查的。**只管滴虫，别的寄生虫不管，所以你需要确定具体是不是的。你这个外用药是没问题的，因为这种皮肤病的话还是跟自身皮肤免疫力有一定关系的，不是说用上就肯定会好，感觉比较油的话你可以少使用一些，在就是我刚才跟你说的配合口服提高皮肤免疫力的，观察看2到3周会不会有所改善了。这个药物看是对细菌真菌都有效果的。环境中的猫癣就购买含有***的宠物消毒液消毒就可以的。
我买了***是可以杀菌的吗？
另外用了一周这个喷雾都没效果的话，时不时得换药啊。我不想她的毛一直湿乎乎的，想换成药膏，是不是更好点？
邓薄鸿
执业兽医师
***也是可以的没问题的。因为这个药物看它使用的说明是可以的，摸眼膏的话会更油的，而且大部分眼膏都是没办法使用在嘴边的，因为不可以舔。你可以按照我刚才跟你说的就是你现有的药物继续使用，主要是你配合着鱼油和维生素做营养皮肤提高皮肤免疫力的观察看他效果，因为我从你的化验结果他我没有看到我说他的皮肤检测出来有猫癣，结果上没有细菌没有真菌没有寄生虫，如果说按这个检查看的话他的皮肤是正常的。
就是我还上传视频了，你可以看到有很多的猫藓。嘴套子 脖子一圈儿，两个耳朵上还有一个后腿也有。这种程度我觉得已经很严重了。我有问别人 说不要让我再使这个喷雾了，因为会搞得他的毛很湿。而且我已经用一周了，没有效果，还要继续用吗？我对这个喷雾比较怀疑有没有用。
邓薄鸿
执业兽医师
就是能看到他的头部还有面部的话是有一些局部发红的，就是你需要确定他这个位置是猫癣的话。如果说你感觉这个药物没有效果的话，就是我们一般针对猫癣使用的就是真菌灭相对来说效果会比较好，但是使用这个药物的时候一定要注意，在嘴边及周围的话不可以使用，因为不能被猫咪舔到。根据宝贝的情况，我给它开个处方。处方里面的1.真菌灭，****成分对抗猫癣，每天2次，局部使用。您可以根据需求自行选择购买
另外我就是想问一下，因为他嘴边的这个脱毛的面积越来越大。我其实有点怀疑这个是猫藓吗？因为其他部位的没有很明显的脱毛现象。其他的部位就是红肿。
邓薄鸿
执业兽医师
因为你这种我肉眼看的话，我肯定是没有办法确定出来，一般这种需要局部刮片用显微镜，看他到底是细菌还是真菌的。就是不是猫癣的话，一般细菌感染或者皮肤敏感也会这样。就是我刚才跟你说的，你不要单纯的只想要，你除了药物之后，鱼油和维生素这些从根本上身体有修复皮肤作用的给他使用上，不管是什么皮肤病你给他吃上这些皮肤营养补充剂都会帮助他皮肤更快的恢复的。
邓薄鸿
执业兽医师
根据宝贝的情况，我给它开个处方。处方里面的1.**鱼油，每天2次，每次1.5毫升。2.***复合维生素，每天2次，每次2毫升。配合使用效果更好。
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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