咨询描述:症状描述:
猫咪有耳螨,去年11月开始用药至今,中间有停药,复发。耳朵周边皮肤有泛红或黑褐色块状,耳朵旁边有个凸起的小包,根部有皮屑,毛发容易脱落。
医院检查:去做过镜检,医院报告没有检测到结果,解释为检查前用过药清理。
用药情况:目前使用洗耳液+耳肤灵每天晚上一次,外驱用爱沃克,每月一次。
回复总结:针对猫咪耳螨总是复发的情况,是真菌细菌混合感染的,需要坚持用药一个月左右就会康复,用药还是用耳漂、耳肤灵,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,在涂抹耳肤灵,每天用药两次,不能中断用药,坚持用药,不然会产生耐药性,延长治疗周期。
问题大致一样,细节不同?
刘文飞
执业兽医师
根据您讲到的详细症状,但仅仅根据目前信息还不能做出进一步的判断。我还有几个问题需要向您核实一下:
1.您家猫咪一岁九个月大了,体重大概是5千克,猫咪耳朵内部有没有分泌黏腻物,黑色的或者黄色的分泌物,耳壁的状态还可以,耳朵跟前患部位置有没有扩大的情况,猫咪有没有抓挠,中间的凸起是什么
2.您养猫咪大概多长时间了,猫咪平时都吃哪种食物,最近有没有给猫咪换过食物或者吃过什么特殊的东西,骨头之类的坚硬物,导致猫咪出现呕吐的症状,呕吐的是未消化的食物,还是白色粘液,或者黄色粘液,有没有血丝,有没有腹泻的症状;
3.猫咪吃饭,喝水,排便,排尿,玩的状态怎么样
4.猫咪有没有出现咳嗽,打喷嚏,流鼻涕的症状,您正常有没有给猫咪用过什么药;
5.猫咪目前精神状态怎么样,有没有吃东西,喝水,猫咪有没有接种过疫苗,做过体内体外的驱虫。
6.猫咪居住的环境有没有突然降温,猫咪趴在垫子上,还是地板上
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。另外,把您家爱宠的信息补充完整,特别是年龄、体重」,待会儿咱们沟通后如果涉及用药建议,方便为宝贝开具处方。
您好,首先猫咪吃喝排便、精神等情况都正常,没有呕吐、腹泻等。疫苗已接种完成,有抗体,且打过加强针,内驱三个月一次,外驱在患耳螨期间一个月一次。其次是耳朵的情况,猫咪有抓挠,黑色分泌物为主,近期眼睛有泪痕或者眼屎。耳廓旁边有些黑色的,突起的我也不知道是什么,摸起来有点粗糙,根部有皮屑,所以我想问问是什么情况,其次耳螨那么久没好,是不是比较严重呢?平时是喂汤恩贝冻干猫粮,偶尔给罐头和秋刀鱼,会偶尔喂营养膏和复合维生素片,没有吃过什么特殊的
为保护用户隐私不显示图片/视频
刘文飞
执业兽医师
您好,猫咪主人,猫咪耳朵确实是耳螨的症状,耳螨是真菌细菌混合感染的情况,需要坚持用药一个月左右就会康复,用药还是用耳漂(洁耳液)、耳肤灵,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,在涂抹耳肤灵,每天用药两次,不能中断用药,坚持用药,不然会产生耐药性,延长治疗周期,耳根部的情况比较像猫癣的症状,但是目前不能够确诊,您需要在观察一下
谢谢医生,请问猫藓怎么判断和治疗呢?需要到医院做哪些检查?另外还是想问一下猫猫的耳螨情况是不是比较严重,那个黑色的块状让我有点担心
为保护用户隐私不显示图片/视频
刘文飞
执业兽医师
猫癣需要做皮肤镜检刮片检查,或者用伍德氏灯照,看是否出现荧光绿,如果有荧光绿就是猫癣,猫癣需要给猫咪口服治疗猫癣的药,外喷治疗猫癣的喷剂,一般需要每三个月给猫咪做一次体内驱虫,每个月做一次体外驱虫,做体外驱虫可以很好的降低毛病感染猫癣的风险。真菌感染周期比较长,一般需要用药一个月左右才会好转,猫咪皮肤病的症状就会有所好转。用药期间最好给猫咪带上伊丽莎白圈,再把猫咪的指甲修剪平整,防止猫咪出现抓挠,舔舐的症状,会有利于猫咪皮肤的早日康复。猫咪住的环境需要彻底的大消毒,以后每周消一次毒,猫窝拿出去晒晒太阳,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猫咪,因为猫癣是真菌感染,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,您自己照顾完猫咪也需要洗手、消毒,耳螨的症状目前看正常,需要坚持用药,以上建议您可以参考一下。
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.盐酸特比萘芬片对猫咪猫癣引起的炎症作用效果比较好,按猫咪的体重用药;2.盐酸特比萘芬喷剂对猫咪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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