咨询描述:猫咪17岁了,一直会睡觉打呼噜,最近发现它开始有好像喘不过气,声音像鼻子不通气,吭哧的声音,就像晚上睡觉打呼的声音,但没有张嘴呼吸, 吃饭睡觉大小便都正常,精神也正常,就是很喜欢睡地板.年纪大不想折腾去宠物医院,晚上吭哧声音很严重
回复总结:老猫喘气很重,要考虑会不会有鼻腔内息肉的问题,鼻腔内息肉会多少影响宝贝呼吸道的通畅,从而呼吸声音会比较明显一些。当然也要考虑可能存在呼吸道感染的问题。如果怀疑有呼吸道感染的问题,可以给猫咪使用针对呼吸道感染的抗生素。比如推荐用多西环素,一天使用两次,连用一周时间。鼻腔内是否有息肉,只能用内窥镜或者核磁共振影像学的检查。
问题大致一样,细节不同?
魏新立
执业兽医师
咪咪家长您好,17岁高龄的猫咪确实在临床上比较少见的。随着年龄的增加,我们要考虑会不会有鼻腔内息肉的问题,鼻腔内息肉会多少影响宝贝呼吸道的通畅,从而呼吸声音会比较明显一些。当然也要考虑可能存在呼吸道感染的问题,不知道有没有鼻涕分泌物的增加呢?如果怀疑有呼吸道感染的问题,我们可以给宝贝使用针对呼吸道感染的抗生素。比如推荐用多西环素,5-10mg/kg,一天使用两次,连用一周时间。
鼻腔内是否有息肉,只能用内窥镜或者核磁共振影像学的检查。
没有留鼻涕的现象,最近好像有一些瘦了,但饭量不减,请问它吃一些平喘的药可以么,比如氨茶碱片,夏天开空调,它好像确实打过喷嚏,没有在意,后来也好了,会不会那时候感染了
魏新立
执业兽医师
是的,就担心之前就因为有着凉引起呼吸道感染的问题的,就会有慢性的呼吸道感染问题。
理论上讲是可以给宝贝使用氨茶碱来平喘的,10mg/kg,一天使用两次。 同时还是要做好保暖的,避免再次有着凉的问题。
还有它以前总是睡垫子或床,现在睡一会就躺地上,是不是发烧呢?我用体温计量大腿下温度可以么?如果它有些发烧,我要用些什么药呢?
魏新立
执业兽医师
可以给宝贝测量大腿内侧的温度,但最好能测肛门内的温度更准确,正常的体温在38-39℃之间,如果有体温的升高,我们在家可以给宝贝用酒精棉球擦拭宝贝的脚垫和腹部,利用酒精的挥发带走身体较高的温度,这样物理性的降温方法。
如果使用解热的药物,可以考虑用下面的,您可以参考了解。最好还是配合广谱类的抗生素,因为机体存在炎症反应,就会有体温升高的情况,炎症反应会有红、肿、热、痛,这四个临床表现形式。
好的,我可以先给它用氨茶碱,然后观察,如果还是不缓解在使用多西环素么?因为我也不懂,它现在是不是有炎症,如果没有吃消炎药好么?还是抗生素和氨茶碱一起使用?
魏新立
执业兽医师
我觉得您可以尝试用氨茶碱观察一下,如果没有特别好的明显改善,再考虑使用抗生素,多西环素也是可以考虑的,我们在临床上使用,目前没有表现出有副作用的情况。但抗生素最好在饭后使用。
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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