咨询描述:请问医生,我家猫咪眼睛下方有红脱毛的地方,两个星期不见好,有时喷***,上面好了,下面蔓延了,怎么办?
回复总结:猫咪眼睛下方出现发红、脱毛的症状,应该是有局部感染的情况,可能是真菌或细菌导致的。处理办法上,建议停用一切外用药物,改为口服药治疗。眼睛下方的皮肤,建议先用清水把上面的结痂处理掉,擦干皮肤。然后用药物香波,每天清洗这块皮肤,药浴浓度较低,不会刺激皮肤。常规的皮肤外用药都会有皮肤有一定的刺激性,长期使用会让皮肤变薄、变红或变黑,不利于皮肤恢复。
问题大致一样,细节不同?
王明月
执业兽医师
根据您讲到的猫咪眼睛下脱毛,我初步分析可能是真菌感染或细菌感染引起的。但仅仅根据目前信息还不能做出进一步的判断。我还有几个问题要跟您核实一下:1、您有它眼睛脱毛的照片吗?可以发几张,用药前后对比的也可以。2、它脱毛的这个地方有明显的瘙痒吗?3、是否有红肿和皮屑?4、它身体是否有其他地方也有脱毛的情况?5、它近期是否做过体外驱虫?6、它、皮舒坦什么时候开始用的,一天几次喷?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。
王明月
执业兽医师
您好,您可以补全一下上面的信息,顺便发两张病变图片的照片,方便我判断可能的原因。您描述的越详细,越有利于诊断。我才能给出有针对性的治疗建议。
照片已发,是否收到?其他地方没有脱毛。不红肿,驱虫没有
为保护用户隐私不显示图片/视频
王明月
执业兽医师
您好,我已经看到您发来的图片。目前推断,它这里起初应该是有局部感染的情况,可能是真菌或细菌导致的。但是目前病变范围较大,主要考虑一方面是感染源作用导致的病变范围扩大,另一方面它应该也存在外用药刺激皮肤,使得皮肤变薄的情况。而且它这块皮肤,本身就处于猫咪泪痕引流处的下方,用药+分泌的泪液一直浸泡皮肤,加重了这块的病变。还有就是,这块皮肤离眼睛太近了,频繁的局部用药,很有可能刺激眼睛,导致它出现眯眼,或眼睛不适等症状。
目前建议您给它先停用一切外用药物,改为口服药治疗。眼睛下方的皮肤这块,先用清水把上面的结痂处理掉,擦干皮肤。然后用药物香波,每天清洗(局部药浴)一下这块皮肤,药浴浓度较低,不会刺激皮肤,常规的皮肤外用药(喷剂或膏剂)都会有皮肤有一定的刺激性,长期使用会让皮肤变薄、变红或变黑,不利于皮肤恢复。
稍等,我这边给它出一个治疗处方,跟您确认下它的体重是9kg,还是9斤?
王明月
执业兽医师
处方里面的1、***香波,用于治疗真菌、细菌引起的皮肤感染。用法用量,隔天一次用药,局部药浴,打湿毛发后,挤出少量香波,揉搓出泡沫,涂在病变部位保持5-10分钟,之后用清水清洗掉。(用法用量见处方详情)2、***,口服药治疗皮肤真菌感染的药物。(用法用量可见处方详情)本品依赖浓于肝脏代谢,用药14天后建议检测肝脏指标。用药周期一般为4周。
以上药物,您可以根据需求自行选择购买。
除上述治疗方法外,切记不要再使用外用涂抹的药物或喷剂。
王明月
执业兽医师
如果是真菌感染自愈的可能性比较小。但是目前必须要做的一个操作是把现在的外用药停了,然后把眼睛下部这块的皮肤清理干净,用纱布块或化妆棉把这块的粘稠的黑色物质都擦掉,让皮肤保持干净。其次是尽量保持皮肤清爽,不要有泪液或眼分泌物长期“浸泡”这块皮肤;之后您可以用低浓度碘伏每天涂一下或隔天涂一下。
以上的一些操作,至少可以让皮肤发红情况不在严重,眼睛不再受药物刺激,皮肤表面的少量细菌不再增殖。但是对于引起这块脱毛的真菌,是没有治疗作用的。
因为本平台的香波和口服药暂时没有拆分售卖的,价格看上去显得比较贵,其实药物的量也是不少。
王明月
执业兽医师
您好,香波您可以考虑更换成这一款,这个是只针对真菌感染的香波,价格更合适一些,用法用量同上。口服药物还是推荐上面那个,您可以参考下,这个口服药物已经是给它开的性价比高的了,另一种有同等功效的口服药价格较贵。
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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