咨询描述：猫咪现在不到两个月 最近鼻子还有嘴巴下巴都有黑色的东西 想问一下是否是猫藓
回复总结：猫咪鼻子嘴巴出都有发黑的现象，可能是猫癣，也不排除是有脂溢性皮炎的情况。处理办法上，建议先给猫咪口服鱼油、维生素之类保健品，提高自身免疫力。然后，局部皮肤可以先使用碘伏进行常规清洗消毒。观察后期会不会扩散，如果继续扩散，猫癣的可能性比较大，建议口服抗真菌药物进行治疗。
问题大致一样，细节不同？
邓薄鸿
执业兽医师
您好，看到您描述的情况和上传的照片了，就是他下巴位置，感觉这种一片发黑的话还是比较像猫癣了，但是也不排除是不是有一个脂溢性皮炎的情况嗯，对于这种的话如果说在家里可以考虑购买一个伍德氏灯直接使用伍德氏灯照射，如果说毛根位置有明显的荧光绿色了。因为这种单单靠肉眼看的话，只能是说猫癣的概率很高，但不能够完全确定。
那我买那个光照也得很久 如果是猫藓的话是不是应该先隔离呢
邓薄鸿
执业兽医师
是的，如果说是猫癣的话，你这种最好是隔离开，因为猫癣是属于真菌会传染给其他的。再一个就是嘴边这种话没办法直接使用药物，你这种的话可能就需要考虑口服一些像是鱼油维生素之类的提高自身免疫力，局部的话你可以先简单地给他使用碘伏之类的进行常规清洗消毒看后期会不会扩散，如果说继续扩散，那这种是只能够口服抗真菌药物的，因为其他的真菌药物猫咪舔了会中毒的。
那如果是猫藓的话需要服用什么药物呢？大概多久会好？需要其他的什么东西
邓薄鸿
执业兽医师
如果说是猫癣的话，根据自身免疫力，一般需要两到四周。主要就是抗真菌的伊曲康唑在配合提高免疫力的鱼油之类的辅助治疗。根据宝贝的情况，我给它开个处方。处方里面的1.伊曲康唑，抗真菌，每公斤体重0.5毫升，每天1次，吃7天停7天是一个疗程。2.鱼油，提高皮肤免疫力辅助治疗，每天2次，每次1.5毫升。您可以根据需求自行选择购买
邓薄鸿
执业兽医师
如果说简单地发炎的话，就是像我刚才跟你说的需要使用碘伏进行擦拭，把表面的分泌物全部都清理干净，同时的话你可以考虑给他简单涂抹一些红霉素软膏尽量避免他能够舔拾到。
软膏直接抹不用擦掉吗？ 大概多久会好呢 每天擦里边呢
邓薄鸿
执业兽医师
是的，不需要擦掉，你如果说把软膏擦掉他没有作用了，就是皮肤表面薄薄的涂抹一层就可以尽量远离嘴巴一些，这种如果说恢复的比较快的话也需要1到2周以上的。
那碘伏每天要擦几遍呢 只要擦一遍抹上红霉素软膏一天就不用管了吗 然后我还想问一下 现在快两个月了 以前一直喝羊奶粉 我可以给他换猫粮了吗 如果换的话怎么换
邓薄鸿
执业兽医师
正常碘伏和红霉素都是每天两次就可以。又是两个月的话，这个时候是可以吃猫粮了，你如果说一直没有给他吃过的话，你这种可以购买幼猫猫粮，前期的话先给他使用羊奶粉完全浸泡，每次泡30分钟左右，大概是七到10天慢慢过度减少这个泡的时间，最后用这个时间完全过渡到整个的不需要泡的猫粮的
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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