咨询描述：不足两岁的拉布拉多母犬，两个前肘部局部皮肤发黑发硬，脱毛，已经有一年了，去年曾用过***扎了一个疗程后，发黑部位明显变小，只剩下一点点了。停药后又慢慢变回用药前的样子了，我用过多种涂抹的药膏效果都如意。去过宠物医院说是真菌感染，我网购***现在自己在家给它注射，每六、七天一次已经扎了四次了，虽然发黑部位有点变小，但效果不明显。有劳您给看看是不是单纯的真菌感染？该怎么治疗？另外这个狗狗最近生理期，前天我发现它与一只小公狗交配了，请问有办法事后补救不让它怀孕吗？
回复总结：狗狗皮肤出现发黑、脱毛的症状，引发的原因是真菌感染，需要给狗狗口服治疗真菌的药，外喷治疗真菌的喷剂。如果狗狗毛毛比较长，建议给狗狗把肘部毛毛剃掉，用药效果比较好。另外，建议每三个月给狗狗做一次体内驱虫，每个月做一次体外驱虫，做体外驱虫可以很好的降低狗狗真菌感染的风险。注意，用药期间最好给狗狗除了吃饭喝水戴上嘴套子，再把狗狗的指甲修剪平整，防止狗狗抓挠、舔舐。
问题大致一样，细节不同？
刘文飞
执业兽医师
狗狗有没有肘部着地经常摩擦的情况，住在笼子里吗，真菌感染用药多久了，狗狗是前天配的嘛
狗狗不住笼子，在客厅沙发或者垫子上，前肘趴地的情况有但是都不会长时间。去年在我乡下住过一段时间，那里有一条满是垃圾甚至农药瓶子的小河，有时注意不到它总跑到那里游泳，不知道和这个有没有关。它是前天晚上喝和我家一只小公狗交配的，我给它吃了人用的左炔诺孕酮片，剂量是人用的两倍，服了两次，今天中午又一次交配了，我再次给服用了孕酮并直接把小公狗送去做绝育了。
刘文飞
执业兽医师
您好，狗狗主人，收到您的详细描述，根据您的描述结合您发的狗狗患部的照片来看，狗狗是真菌感染，需要给狗狗口服治疗真菌的药，外喷治疗真菌的喷剂，狗狗毛毛比较长，加上感染时间比较久了，建议给狗狗把肘部毛毛剃掉，用药效果比较好，真菌感染治疗周期比较长，一般需要用药一个月左右才会逐渐恢复，期间需要坚持用药，不能停药，如果断断续续用药会使狗狗产生耐药性，延长治疗周期，一般需要每三个月给狗狗做一次体内驱虫，每个月做一次体外驱虫，做体外驱虫可以很好的降低狗狗真菌感染的风险。真菌感染周期比较长，用药期间最好给狗狗除了吃饭喝水戴上嘴套子，再把狗狗的指甲修剪平整，防止狗狗出现抓挠，舔舐的症状，会有利于狗狗皮肤的早日康复。猫咪住的环境需要彻底的大消毒，以后每周消一次毒，狗窝拿出去晒晒太阳，有助于杀菌消毒，家里有没有老人和小孩，如果有老人和孩子建议不要让他们接触到狗狗，因为狗狗是真菌感染，会传染给人，老人和小孩皮肤免疫力抵抗力比较差，比较易感，所以不建议接触，您自己照顾完狗狗也需要洗手、消毒，狗狗不能吃人吃的终止妊娠的药物，人用药狗狗有用有风险，而且狗狗也没有打的或者口服的终止妊娠的药物，如果不打算生可以给狗狗做绝育手术，以上建议您可以参考一下。
谢谢您刘医生，可以推荐一下真菌感染给狗狗用什么药口福和喷剂吗？另外消毒是用八四吗？是否还需要给狗狗注射伊维菌素？
刘文飞
执业兽医师
狗狗用的消毒液，最好是用宠物专用的，您看您这边可以买到哪一种，只要是宠物专用的都可以，伊维菌素，主要是驱虫的作用，目前可以先不用了
根据狗狗的情况，我给它开个处方。处方里面的
1.盐酸特比萘芬片对狗狗真菌引起的炎症作用效果比较好，按狗狗的体重用药;2.盐酸特比萘芬喷剂对狗狗皮肤表面消炎抑菌效果比较好，您可以根据需求自行选择购买
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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