咨询描述:近半年皮肤病史,主要在脸部腮部,进半个月越来越严重。宠物医院医生最初诊断为真菌性皮肤病,五德氏灯检查不是猫癣,未做过其他检查。未变动生活环境,排除家居物品过敏。 医生先后指导用过***,***膏+***(一直在用,后期无效),长期补充维生素B,目前都无效果,最近半个月开始用***皮肤低敏粮,未见效果且扩散到眼睛周围一圈比较严重。一直有戴伊丽莎白圈,期间偶有照顾不周自己会挣脱挠伤。 需要您给出诊疗意见并开具治疗处方,谢谢
一岁多妹妹,已绝育
回复总结:猫咪脸部腮部发红瘙痒,猫咪是细菌感染的症状,也就是脓皮症,需要给猫咪口服治疗脓皮症的药,外喷治疗脓皮症的喷剂,猫咪毛毛比较长,加上感染时间比较久了,建议给猫咪把毛毛剃掉,皮肤表面有化脓,需要用双氧水消毒。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猫咪脓皮症感染的风险。
问题大致一样,细节不同?
刘文飞
执业兽医师
您好,猫咪主人,收到您的详细描述,根据您的描述结合您发的猫咪患部的照片来看,猫咪是细菌感染的症状,也就是脓皮症,需要给猫咪口服治疗脓皮症的药,外喷治疗脓皮症的喷剂,猫咪毛毛比较长,加上感染时间比较久了,建议给猫咪把毛毛剃掉,皮肤表面有化脓,需要用双氧水消毒,双氧水消毒比较疼,注意不要让猫咪伤人,脓皮症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猫咪产生耐药性,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猫咪脓皮症感染的风险。脓皮症感染周期比较长,用药期间给猫咪戴上伊丽莎白圈,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,您自己照顾完猫咪也需要洗手、消毒,以上建议您可以参考一下(从目前您提供的信息看,我大致诊断为细菌感染,可以先按照细菌感染去治疗,如果用药没有好转就需要去医院刮片确诊,因为线上问诊的局限性,只能给出这个治疗方案)
根据猫咪的情况,我给它开个处方。处方里面的1.头孢氨苄片对猫咪脓皮症引起的炎症作用效果比较好,按猫咪的体重用药;2.***喷剂对猫咪皮肤消炎抑菌效果比较好,您可以根据需求自行选择购买
好的,谢谢您耐心细致的回复。医院医生最近又说是怀疑过敏,有必要继续用低敏粮吗?可以用可鲁代替双氧水吗?这个头孢氨卡片有没有副作用和依赖性?如果不是脓皮症用这些药不会加重病情吧?
刘文飞
执业兽医师
您好,过敏会全身有症状,但是目前猫咪是局部症状,所以过敏的可能性比较小,低敏粮暂时可以吃,图片看皮肤化脓,针对于化脓双氧水消毒比较好,但是很疼,头孢氨苄片是宠物用的,副作用肯定有,但是相对来说副作用小,如果不是脓皮症这两种药也是针对于皮肤的情况开的,不会加重
好的,就是人用的双氧水吗?她之前有肝功能重度损伤病史,用这个药是可以的不?饮食方面有需要注意的吗?我平时有偶尔给她喂自制猫饭
刘文飞
执业兽医师
您好,需要用兽用或者宠物用的双氧水,可以吃,把药量减半,吃0.3片,饮食方面按照之前的吃的,最好吃肝脏处方粮
好的,谢谢您的指导。治疗过程是每天用双氧水消毒一次伤口,然后喷剂,再按说明吃药对吗
刘文飞
执业兽医师
化脓的部位用双氧水,没有化脓的就不用,不要让双氧水进到眼睛,鼻子,耳朵嘴巴,喷剂喷于棉签涂抹,在按时吃药
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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