咨询描述:邓医生您好!猫咪在宠物医院看过后是皮肤细菌感染,右前腿上方背部有一小块皮肤溃烂,医院当天去脓处理,同时已经连续四天吃了***早晚一片,同时开的***的抗菌液喷雾,***的抗菌凝胶。昨天第五天医院没再给开消炎药,继续开的是***皮肤喷雾和汇***控的银离子胶体凝胶,让每天喷药涂药就可以了,说还需要一个月才能恢复。但是今天伤口上的一层薄薄的痂碰掉了,暴露出来的伤口面状态跟第一次去医院处理时差别不大,鼓包消肿了些。请问接下来不给吃的消炎药可以吗?有没有更有效的喷剂和涂抹的药呢?
回复总结:猫咪腿上有小块皮肤出现破皮、溃烂的症状,一方面话可能是外伤感染,另一方面考虑自身免疫力下降,皮肤免疫系统出现问题局部出现细菌感染导致了病变。处理办法上,建议给猫咪口服含有阿莫西林克拉维酸钾成分的消炎药,每天2次,每次1片,同时配合使用抑菌消炎的皮肤病喷剂,每天2次,局部使用。此外,还需要使用杀菌消毒的外用凝胶,每天2次,局部涂抹。注意,外用药建议间隔30分钟。
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,嗯像是五天的情况下我可能会建议您还是要继续使用消炎药的,就是***是可以的没有问题。就是他建议可以连续使用10到14天。如果说感觉目前这种外用药的效果,不是很理想的情况下可以尝试***喷剂配合***凝胶,我们这边一支使用的这一款效果还可以,同时一定要避免舔舐患处。这种治疗的话不一定说一定需要一个月才恢复,但是至少也是3周左右的。根据宝贝的情况,我给它开个处方。处方里面的1.速诺,消炎,每天2次,每次1片。2.***喷剂,每天2次,局部使用。3.***凝胶,每天2次,局部涂抹,两个药物建议间隔30分钟。
补充说明一下,猫咪是在本月17号做完绝育手术后,22号早上突然发现这处伤口的,象这样的细菌感染有没有可能是在跟其他小猫打闹时被抓伤或者咬伤造成的呢。
另外朋友告诉我说皮肤化脓溃烂吃***比***更好一些,那需要换成***吗?***喷剂和凝胶会不会有刺激性引起猫咪疼痛?
邓薄鸿
执业兽医师
目前这种皮肤问题的话基本上考虑是两个方面原因导致的,一方面话就是可能说像是这种外伤之类的外伤之后没有及时发现他出现感染。另一方面就是考虑自身免疫力下降之后,皮肤免疫系统出现问题局部出现的细菌感染导致病变。其实这种的话嗯在没有进行专门的药敏实验检查之前,常规的就是***和***他俩基本上没有太大区别的,使用什么都可以
邓薄鸿
执业兽医师
就是猫咪皮肤这个位置的话肯定是疼痛,但是可鲁这个药物已经是可以说大部分药物里面是这种最温和刺激性最小的了,就是他基本不会说比其他的药物会对猫咪更有刺激性
打消炎针的效果会不会更好些?比如我听说的有一种长效消炎针,是能管好几天,就不用吃药了?
邓薄鸿
执业兽医师
如果说能够打长效消炎针那是最好的了,一般使用的就硕腾的康卫宁,一针可以作用14天,而且对猫咪是没有什么副作用的,而且可以减缓猫咪每天喂药的痛苦,就是相对来说费用会比口服的要贵一些。
邓薄鸿
执业兽医师
这个费用的话,根据您所在的城市和医院规模不同相对来说会有一定区别,以我们沈阳举例,我们这边属于一个中等规模的医院,长效消炎针的费用的话是0.1毫升 ¥50,按照猫咪的体重正常每公斤体重需要使用0.1毫升,它4公斤的话费用基本上在200左右
不管使用哪一种喷剂,能否跟碘伏交替同时使用呢?
伤口每天喷剂涂抹药,是不是最好不要它结痂?结痂反而不利于恢复吗?
邓薄鸿
执业兽医师
就是这种的话不同药物的成分是不一样,你需要看药物的说明能否和典伏使用的,像是可鲁的话就是不可以和碘伏使用,你就是单纯的使用这种可鲁喷剂配合可鲁凝胶就可以。是的,因为如果说特别大块结痂的情况下药物作用不到这种患处,你就是基本上起不到什么作用的,一般可以在每次上药之前的话基本上每天两次上药之前可以使用就是生理盐水和棉球给他局部把表面的分泌物清理干净,之后再给他上药,就是生理盐水这个主要就是没有什么刺激性就是为了清洁表面分泌物了
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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