咨询描述:上周六去体检,检查说耳朵发炎,身上有寄生虫,然后带了伊丽莎白圈至今。每天都有认真上药,用***的耳漂清洁后,再***滴耳液连续了四天,今天耳朵比较红肿,上完药一直在抓挠伊丽莎白圈,请问还能继续上药吗?还有耳朵清洁的手法是不是有讲究?
症状描述:耳朵内侧红肿
患病时长:三天
医院检查:
用药情况:
回复总结:猫咪耳朵内侧出现红肿的症状,考虑是耳螨引发的。处理办法上,阿金一给猫咪使用宠物专用耳漂清洗,首先将猫咪的耳朵竖起来,然后滴入三到四滴耳漂,然后轻轻地揉搓猫咪的耳根部,持续十秒钟左右,然后让猫咪甩动耳朵,把脏东西从耳道深处甩出来。再用棉签轻轻地把耳朵周围的污垢擦干净,再涂抹治理耳螨的药膏。另外,建议每三个月做一次体内驱虫,每一个月做一次体外驱虫,定期做好驱虫可以降低猫咪耳螨感染的风险。
问题大致一样,细节不同?
刘文飞
执业兽医师
您好,猫咪主人,您家猫咪有耳螨的症状,耳漂清洗首先将猫咪的耳朵竖起来,然后滴入三到四滴耳漂,然后轻轻地揉搓猫咪的耳根部,持续十秒钟左右,然后让猫咪甩动耳朵,把脏东西从耳道深处甩出来。再用棉签轻轻地把耳朵周围的污垢擦干净,再涂抹治理耳螨的***,一般每三个月做一次体内驱虫,每一个月做一次体外驱虫,定期做好驱虫可以降低猫咪耳螨感染的风险,还需要给猫咪居住的环境做好驱蚊虫工作,您目前需要给猫咪居住的环境,每周消一次毒,用宠物专用的消毒液消毒,消完毒之后保持环境清洁干燥,再给猫咪口服消炎药,坚持用药一周左右,猫咪患部的症状就会逐渐恢复。三周左右就会恢复,用药期间需要给猫咪带上伊丽莎白圈,在给猫咪把指甲修剪平整光滑,防止猫咪抓挠,有利于猫咪早日康复。以上分析与建议您可以先参考一下。
对于耳朵的操作是不是要越轻越好,不要让耳朵大面积地方揉搓,因为之前没有红肿,然后有没有可能因为这两天清洁揉搓,然后导致的耳朵受损从而造成发炎。
刘文飞
执业兽医师
您好,不会是揉搓造成的,建议正常用耳漂清洗,按照我前面说的方法,在需要给耳朵里上的药换成耳肤灵,然后给猫咪做驱虫,在口服消炎药
耳肤灵是所有牌子都可以吧,法国威隆-耳肤灵滴耳液可以吗
刘文飞
执业兽医师
根据猫咪的情况,我给它开个处方。处方里面的1.阿莫西林克拉维酸钾,对猫咪耳螨引起的炎症作用效果比较好,按猫咪的体重用药;2.***治疗耳螨效果比较好,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
{"391869":{"id":391869,"case_id":45004,"user_id":1345841,"to_user_id":2079792,"type":3,"content":"根据猫咪的情况,我给它开个处方。处方里面的1.阿莫西林克拉维酸钾,对猫咪耳螨引起的炎症作用效果比较好,按猫咪的体重用药;2.***治疗耳螨效果比较好,您可以根据需求自行选择购买","media":{"images":{},"videos":{},"business_params":{"prescription_id":119019}},"is_doctor":1,"status":1,"created_at":"2022-07-28 10:21:47","show_rx":true,"rx_info":{"id":119019,"rx_no":2.02207281020595e+24,"user_id":2079792,"doctor_user_id":1345841,"is_independent":0,"case_id":2838754,"pet_info":{"pet_id":315026,"pet_name":"德文卷毛猫","pet_nickname":"可乐","pet_gender":2,"pet_birth":"0-4","pet_weight":2,"pet_vaccination_status":1,"pet_in_insect_repellent_status":0,"pet_out_insect_repellent_status":0,"pet_age_format":"4个月"},"diagnose":"耳螨","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2022-07-28 10:20:59","updated_at":"2022-07-28 10:21:47","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":42269,"prescription_id":119019,"doctor_user_id":1345841,"product_id":719,"product_sku_id":761,"dose":2,"dose_unit":"厘米","use_method":"涂抹","frequency":"每天1次","days":30,"number":1,"remark":"","created_at":"2022-07-28 10:20:59","updated_at":"2022-07-28 10:20:59","product_info":{"id":719,"hash_id":"02EmLAg020po1NwW","class_ids":{"0":1,"1":2},"category_ids":{"19":180},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":81,"sell_point":"耳肤灵 复方制霉菌素软膏","title":"威隆耳肤灵 复方制霉菌素软膏 10g\/支\/盒","recommend_reason":{"0":"用于宠物耳螨,细菌性耳炎,真菌耳炎,耳痒,流脓","1":"用于宠物日常护理,除臭去垢,消肿止痒等"},"baike_guide_text":"","baike_article_hash_id":"","advword":"耳螨,细菌性耳炎,真菌耳炎,耳痒,流脓,中耳炎","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"10g"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/0f029a6a91f74b81ebbb12202f072aac.png","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":88,"max_price":88,"sale_count":90,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 14:41:10","updated_at":"2024-04-26 09:12:21","ins":{"id":81,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"复方制霉菌素软膏","trade_name":"耳肤灵","en_name":"Compound Nystatin Ointment","brand_name":"威隆","is_prescription":0,"cover":"\/drug\/2020\/11\/4a3baa3a0e8f0d632c635b1dd6f13ff8.png","specification":"10g\/支\/盒","reference_price":130,"component":"硫酸新霉素,制霉菌素,氯菊酯曲安奈德","indication":"1.用于宠物耳螨,细菌性耳炎,真菌耳炎,耳痒,流脓。\n2.也可用于宠物日常护理,除臭去垢,消肿止痒等。","usage_dosage":"1.外用药每日一次,直至康复。耳螨疗程一般3到4周。如患中耳炎,需搭配抗生素治疗,连续用药两周。\n2.首先应清洁耳朵外部,再取适量豌豆粒大小的药量,挤入耳道内。\n3.轻轻按摩耳朵根部10秒,让液体均匀覆盖在耳道黏膜上。","contraindication":"","adverse_reaction":"","attention":"1.用药前检查耳朵鼓膜完整性,不要让药膏污染被毛,特别是要防止猫舔。\n2.本品仅动物使用。\n3.放置到儿童不能拿到的位置。","interaction":"","approval_no":"(2016)外兽药证字39号","storage_method":"密封保存。","validity":"3年","manufacturer":"法国威隆制药股份有限公司Vetoquinol S.A.","status":1,"created_at":"2020-11-09 16:40:33","updated_at":"2020-11-09 16:40:33"}},"product_sku_info":{"id":761,"product_id":719,"title":"威隆耳肤灵 复方制霉菌素软膏 10g\/支\/盒","advword":null,"price":88,"market_price":120,"cost_price":0,"stock":76,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"10g"}},"cover":null,"thumb":"","sale_count":100,"status":1,"delete_status":0,"created_at":"2021-12-17 14:41:10","updated_at":"2024-04-25 21:35:03"}},"1":{"id":42270,"prescription_id":119019,"doctor_user_id":1345841,"product_id":712,"product_sku_id":755,"dose":2,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2022-07-28 10:20:59","updated_at":"2022-07-28 10:20:59","product_info":{"id":712,"hash_id":"VjX39W4z2B4Q0bvZ","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":3,"sell_point":"速诺(阿莫西林克拉维酸钾片)50mg","title":"辉瑞速诺(阿莫西林克拉维酸钾片) 50mg×10片\/板","recommend_reason":{"0":"适用于宠物由敏感细菌引起的皮肤及软组织感染、呼吸道感染","1":"治疗宠物革兰氏阴性和革兰氏阳性敏感细菌的感染","2":"用于肠炎及其他感染,如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"呼吸道感染,肠炎,腹泻,便血,真菌感染,猫癣,脓皮症","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"50mg规格1板"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/26f5438f35ed21efc2894dffea9f399f.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":48,"max_price":48,"sale_count":1339,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:50:13","updated_at":"2024-04-29 09:12:55","ins":{"id":3,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"阿莫西林克拉维酸钾片","trade_name":"速诺","en_name":"Synulox Palatable Tablets","brand_name":"辉瑞","is_prescription":1,"cover":"\/drug\/2020\/10\/46c3ccae52804b92b0e341800e809e95.JPG","specification":"50mg×10片×10板\/盒","reference_price":800,"component":"阿莫西林和克拉维酸钾","indication":"适用于犬猫由敏感细菌引起的各种感染,及治疗犬猫革兰氏阴性和革兰氏阳性敏感细菌的感染。\n1、如皮肤及软组织感染脓性皮炎、脓肿和肛腺炎、蜂窝组织炎、伤口感染、腹内脓毒症等。\n2、牙感染(牙龈炎)。\n3、尿道感染,如膀胱炎、尿道炎、肾盂肾炎、前列腺炎、盆腔炎、淋病奈瑟菌尿路感染及软性下疳等。\n4、呼吸道感染,如鼻窦炎、扁桃体炎、咽炎、急慢性支气管炎、慢性支气管炎急性发作、肺炎、肺脓肿和支气管合并感染。\n5、肠炎及其他感染,如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染等。","usage_dosage":"口服。每天吃2次,连用5-7天。每次用量如下:\n体重1-2kg,吃半粒; \n体重3-5kg,吃1粒; \n体重6-9kg,吃2粒;\n体重10-13kg,吃3粒;\n体重14-18kg,吃4粒;\n体重≥19kg,请购买同品250mg规格的产品。\n\n注:一些慢性感染(慢性皮炎、慢性膀胱炎和慢性呼吸道感染)的治疗可连用10-28天。","contraindication":"1. 仓鼠、豚鼠、沙鼠、灰鼠和家兔禁用。\n2. 其他草食动物慎用。\n3.对青霉素过敏者禁止接触本品。","adverse_reaction":"1.恶心、腹泻和皮肤丘疹是最常见的不良反应。\n2.本品为青霉素类药物,若出现过敏反应可使用肾上腺素治疗。","attention":"1.不要对病情严重的动物使用口服抗生素,因其胃肠道吸收可能不可靠,这些患病动物可能需要静脉注射剂。\n2.避免在对其他β-内酰胺类抗菌药(包含头孢菌素类)有过敏反应的动物使用。\n3.片剂由防潮箔包裹,给药前不要取出。\n4.对青霉素过敏者如果不慎接触,应该立刻去找医生救助。\n5.孕畜慎用。\n4.使用后请洗手。\n5.不要让小孩接触到此产品。","interaction":"1.避免同时使用抑菌性抗生素(如四环素、红霉素)。\n2.不要给鸟类同时使用别嘌呤醇、β-内酰胺和氨基糖苷类抗菌剂在体内有协同作用。\n3.本品和氨苄西林有完全交叉耐药性,与青霉素类和头孢菌素类有交叉耐药性。","approval_no":"(2018)外兽药证字10号","storage_method":"密封,在凉暗干燥处保存。","validity":"2年","manufacturer":"意大利豪普特制药厂(Haupt Pharma Latina S.R.L)","status":1,"created_at":"2020-10-21 13:48:10","updated_at":"2020-10-23 15:55:39"}},"product_sku_info":{"id":755,"product_id":712,"title":"辉瑞速诺(阿莫西林克拉维酸钾片) 50mg×10片\/板","advword":null,"price":48,"market_price":59,"cost_price":0,"stock":9647,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50mg规格1板"}},"cover":null,"thumb":"","sale_count":1410,"status":1,"delete_status":0,"created_at":"2021-12-16 15:50:13","updated_at":"2024-04-28 21:08:44"}}},"drug_data_bak":{"0":{"id":42269,"prescription_id":119019,"doctor_user_id":1345841,"product_id":719,"product_sku_id":761,"dose":2,"dose_unit":"厘米","use_method":"涂抹","frequency":"每天1次","days":30,"number":1,"remark":"","created_at":"2022-07-28 10:20:59","updated_at":"2022-07-28 10:20:59","product_info":{"id":719,"hash_id":"02EmLAg020po1NwW","class_ids":{"0":1,"1":2},"category_ids":{"19":180},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":81,"sell_point":"耳肤灵 复方制霉菌素软膏","title":"威隆耳肤灵 复方制霉菌素软膏 10g\/支\/盒","recommend_reason":{"0":"用于宠物耳螨,细菌性耳炎,真菌耳炎,耳痒,流脓","1":"用于宠物日常护理,除臭去垢,消肿止痒等"},"baike_guide_text":"","baike_article_hash_id":"","advword":"耳螨,细菌性耳炎,真菌耳炎,耳痒,流脓,中耳炎","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"10g"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/0f029a6a91f74b81ebbb12202f072aac.png","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":88,"max_price":88,"sale_count":90,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 14:41:10","updated_at":"2024-04-26 09:12:21","ins":{"id":81,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"复方制霉菌素软膏","trade_name":"耳肤灵","en_name":"Compound Nystatin Ointment","brand_name":"威隆","is_prescription":0,"cover":"\/drug\/2020\/11\/4a3baa3a0e8f0d632c635b1dd6f13ff8.png","specification":"10g\/支\/盒","reference_price":130,"component":"硫酸新霉素,制霉菌素,氯菊酯曲安奈德","indication":"1.用于宠物耳螨,细菌性耳炎,真菌耳炎,耳痒,流脓。\n2.也可用于宠物日常护理,除臭去垢,消肿止痒等。","usage_dosage":"1.外用药每日一次,直至康复。耳螨疗程一般3到4周。如患中耳炎,需搭配抗生素治疗,连续用药两周。\n2.首先应清洁耳朵外部,再取适量豌豆粒大小的药量,挤入耳道内。\n3.轻轻按摩耳朵根部10秒,让液体均匀覆盖在耳道黏膜上。","contraindication":"","adverse_reaction":"","attention":"1.用药前检查耳朵鼓膜完整性,不要让药膏污染被毛,特别是要防止猫舔。\n2.本品仅动物使用。\n3.放置到儿童不能拿到的位置。","interaction":"","approval_no":"(2016)外兽药证字39号","storage_method":"密封保存。","validity":"3年","manufacturer":"法国威隆制药股份有限公司Vetoquinol S.A.","status":1,"created_at":"2020-11-09 16:40:33","updated_at":"2020-11-09 16:40:33"}},"product_sku_info":{"id":761,"product_id":719,"title":"威隆耳肤灵 复方制霉菌素软膏 10g\/支\/盒","advword":null,"price":88,"market_price":120,"cost_price":0,"stock":76,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"10g"}},"cover":null,"thumb":"","sale_count":100,"status":1,"delete_status":0,"created_at":"2021-12-17 14:41:10","updated_at":"2024-04-25 21:35:03"}},"1":{"id":42270,"prescription_id":119019,"doctor_user_id":1345841,"product_id":712,"product_sku_id":755,"dose":2,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2022-07-28 10:20:59","updated_at":"2022-07-28 10:20:59","product_info":{"id":712,"hash_id":"VjX39W4z2B4Q0bvZ","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":3,"sell_point":"速诺(阿莫西林克拉维酸钾片)50mg","title":"辉瑞速诺(阿莫西林克拉维酸钾片) 50mg×10片\/板","recommend_reason":{"0":"适用于宠物由敏感细菌引起的皮肤及软组织感染、呼吸道感染","1":"治疗宠物革兰氏阴性和革兰氏阳性敏感细菌的感染","2":"用于肠炎及其他感染,如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"呼吸道感染,肠炎,腹泻,便血,真菌感染,猫癣,脓皮症","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"50mg规格1板"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/26f5438f35ed21efc2894dffea9f399f.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":48,"max_price":48,"sale_count":1339,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:50:13","updated_at":"2024-04-29 09:12:55","ins":{"id":3,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"阿莫西林克拉维酸钾片","trade_name":"速诺","en_name":"Synulox Palatable Tablets","brand_name":"辉瑞","is_prescription":1,"cover":"\/drug\/2020\/10\/46c3ccae52804b92b0e341800e809e95.JPG","specification":"50mg×10片×10板\/盒","reference_price":800,"component":"阿莫西林和克拉维酸钾","indication":"适用于犬猫由敏感细菌引起的各种感染,及治疗犬猫革兰氏阴性和革兰氏阳性敏感细菌的感染。\n1、如皮肤及软组织感染脓性皮炎、脓肿和肛腺炎、蜂窝组织炎、伤口感染、腹内脓毒症等。\n2、牙感染(牙龈炎)。\n3、尿道感染,如膀胱炎、尿道炎、肾盂肾炎、前列腺炎、盆腔炎、淋病奈瑟菌尿路感染及软性下疳等。\n4、呼吸道感染,如鼻窦炎、扁桃体炎、咽炎、急慢性支气管炎、慢性支气管炎急性发作、肺炎、肺脓肿和支气管合并感染。\n5、肠炎及其他感染,如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染等。","usage_dosage":"口服。每天吃2次,连用5-7天。每次用量如下:\n体重1-2kg,吃半粒; \n体重3-5kg,吃1粒; \n体重6-9kg,吃2粒;\n体重10-13kg,吃3粒;\n体重14-18kg,吃4粒;\n体重≥19kg,请购买同品250mg规格的产品。\n\n注:一些慢性感染(慢性皮炎、慢性膀胱炎和慢性呼吸道感染)的治疗可连用10-28天。","contraindication":"1. 仓鼠、豚鼠、沙鼠、灰鼠和家兔禁用。\n2. 其他草食动物慎用。\n3.对青霉素过敏者禁止接触本品。","adverse_reaction":"1.恶心、腹泻和皮肤丘疹是最常见的不良反应。\n2.本品为青霉素类药物,若出现过敏反应可使用肾上腺素治疗。","attention":"1.不要对病情严重的动物使用口服抗生素,因其胃肠道吸收可能不可靠,这些患病动物可能需要静脉注射剂。\n2.避免在对其他β-内酰胺类抗菌药(包含头孢菌素类)有过敏反应的动物使用。\n3.片剂由防潮箔包裹,给药前不要取出。\n4.对青霉素过敏者如果不慎接触,应该立刻去找医生救助。\n5.孕畜慎用。\n4.使用后请洗手。\n5.不要让小孩接触到此产品。","interaction":"1.避免同时使用抑菌性抗生素(如四环素、红霉素)。\n2.不要给鸟类同时使用别嘌呤醇、β-内酰胺和氨基糖苷类抗菌剂在体内有协同作用。\n3.本品和氨苄西林有完全交叉耐药性,与青霉素类和头孢菌素类有交叉耐药性。","approval_no":"(2018)外兽药证字10号","storage_method":"密封,在凉暗干燥处保存。","validity":"2年","manufacturer":"意大利豪普特制药厂(Haupt Pharma Latina S.R.L)","status":1,"created_at":"2020-10-21 13:48:10","updated_at":"2020-10-23 15:55:39"}},"product_sku_info":{"id":755,"product_id":712,"title":"辉瑞速诺(阿莫西林克拉维酸钾片) 50mg×10片\/板","advword":null,"price":48,"market_price":59,"cost_price":0,"stock":9647,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50mg规格1板"}},"cover":null,"thumb":"","sale_count":1410,"status":1,"delete_status":0,"created_at":"2021-12-16 15:50:13","updated_at":"2024-04-28 21:08:44"}}}}}}
去微信领券提问
实时接受医生通知