咨询描述:皮肤表面有小包块,小包块结痂后然后干了掉皮屑,掉完后就是这样红红的点点。我们家狗原先有过这样的情况,但是不多,这次特别严重,已经半个月了,我们使用了碘伏涂抹***皮肤喷雾,目前效果不佳。
回复总结:狗狗皮肤表面有包块结痂和皮屑,是典型的浅表性脓皮症。可能需要口服药物结合外用药物进行治疗。治疗方面,建议给狗狗口服马波沙星,治疗由敏感菌引起的犬皮肤和软组织感染,如皮肤褶皱脓皮病、脓包性皮炎、毛囊炎、疖病和蜂窝组织炎等。同时,配合给狗狗洗药浴。
问题大致一样,细节不同?
陆文健
执业兽医师
看了您发来的照片,结合您的描述所提供的信息,初步判断您的狗狗应该是浅表脓皮症。
但仅仅根据您目前提供的信息,还不能做出进一步的判断。我还有几个问题需要向您核实一下:
1、小包块发生于腹部、背部外,前后肢咯吱窝下或者其他部位多不多?
2、这个小包块有没有瘙痒?也就是狗狗有没有频繁挠痒痒或者舔患处?
3、从照片来看,小包块的部位没有掉毛,您在现场看,小包块的部位有没有掉毛?
4、您给狗狗除使用碘伏和肤诺嗯外,还有没有使用过什么药物?
5、有没有送医院进行刮取皮屑检查?
以上这些情况您仔细回忆后详细的描述给我,对我给狗狗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。
除了屁股,背部,腹部,后大腿根部有,其他部位没有
有瘙痒,狗经常舔挠
不掉毛
除了那两个药没有再涂别的东西
没有去医院检查
陆文健
执业兽医师
根据您描述提供的信息,结合您发来的照片,您的狗狗应该是比较典型的浅表性脓皮症。由于您的狗狗脓皮症很严重,身体很多部位都有比较严重的脓皮症,所以可能需要口服药物结合外用药物进行治疗。
给您建议的治疗方案有两个,供您选择:
方案一:
1、口服马波沙星,治疗由敏感菌引起的犬皮肤和软组织感染(如皮肤褶皱脓皮病、脓包性皮炎、毛囊炎、疖病和蜂窝组织炎等)。
2、使用维克派奥洁,进行洗药浴。
方案二:
1、口服马波沙星;
2、使用您目前肤诺恩喷剂局部喷雾。
以上两个方案肯定是方案一效果比较好,方案二您可以节省点费用。
下面我给您的狗狗按方案一开个处方供您参考。
好的好的,谢谢,需要注意什么饮食和禁忌吗?洗澡呀什么的,还有方案一的服用及洗浴的要求注意要点
陆文健
执业兽医师
根据狗狗脓皮症的情况,我给它开个处方。
处方里面的:
1、威隆马波沙星,治疗由敏感菌引起的犬皮肤和软组织感染;
2、维克派奥洁 ,适用于真菌性皮炎、脓皮症,有效控制皮肤细菌及真菌感染、恢复表皮完整性。
您可以根据需求自行选择购买。
建议处方:
1、威隆马波沙星 麻佛美味片,20mg×10片/盒,一次口服0.5片,一天1次,连用7天;
2、维克派奥洁 ,200ml/瓶,第一周使用3次,第二周以后一周使用一次。温水淋湿犬猫全身,用派奥洁清洗全身后冲洗;第二遍再使用派奥洁,揉搓犬猫全身至少5-10分钟,再次冲洗干净,冲洗时间至少5-10分钟(具体使用方法严格按说明来使用)。
陆文健
执业兽医师
我已经给您的狗狗开了处方了,几点说明:
1、您根据我处方中的使用方法进行使用,特别提醒的是那个维克派奥洁,仔细阅读说明书,按说明书中的使用方法使用;
2、食物方面没有什么禁忌,建议以狗粮为主,适当补充水煮鸡胸肉、水煮鸡肝等食物;
3、请用药5天后复诊,根据您的狗狗恢复的情况再来考虑是否需要调整治疗方案,有问题可随时在线联系。
好的,谢谢,药邮寄有点久,我明天就去就近宠物医院买可以吗?
好的,我明天先去宠物医院问问有没有,如果没有的话就立刻来下单
陆文健
执业兽医师
好的,按我给您的处方使用,使用5天后复诊,根据狗狗恢复情况,再确定下一步用药。
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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20mg×10片\/盒","advword":null,"price":98,"market_price":138,"cost_price":0,"stock":43,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"20mg盒装"}},"cover":null,"thumb":"","sale_count":61,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:13:48","updated_at":"2024-11-21 21:08:53"}},"1":{"id":63947,"prescription_id":129247,"doctor_user_id":1388751,"product_id":738,"product_sku_id":780,"dose":1,"dose_unit":"适量","use_method":"洗浴","frequency":"第一周使用3次,第二周以后一周使用一次","days":30,"number":1,"remark":"用派奥洁清洗全身后冲洗;第二遍再使用派奥洁,揉搓犬猫全身至少5-10分钟,再次冲洗干净,冲洗时间至少5-10分钟(具体使用方法严格按说明来使用)。","created_at":"2022-11-20 21:38:28","updated_at":"2022-11-20 21:38:28","product_info":{"id":738,"hash_id":"bEoKq1xn2kxMNkRy","class_ids":{"0":1,"1":2},"category_ids":{"7":168},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":73,"sell_point":"派奥洁犬猫皮肤香波","title":"维克派奥洁犬猫皮肤香波 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16:45:55"}},"product_sku_info":{"id":780,"product_id":738,"title":"维克派奥洁犬猫皮肤香波 200ml\/瓶","advword":null,"price":128,"market_price":210,"cost_price":0,"stock":68,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"200ml"}},"cover":null,"thumb":"","sale_count":32,"status":0,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 16:41:28","updated_at":"2024-05-29 09:49:38"}}}}}}
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