回复总结:狗狗经常性的突然抽搐,对于这种情况,基本上就能确定癫痫的可能性大一些。如果是这种情况,一般有两个办法,一个是做一个常规的系统性的检查。如果没有问题,可以确认为癫痫,另外一个办法就是直接用抗癫痫药物去控制,因为狗狗的症状已经非常明显,所以这种情况可以直接进行确认的。当然,最好是有发病时候的视频,这样的话更为直接和准确。
问题大致一样,细节不同?
徐灿
执业兽医师
你好家长,对于这种情况来说,可能性还是比较多的,比如说血钙浓度低,癫痫或者是病毒性疾病后遗症,还有一些就是发热的原因。
这种情况我首先需要问一下,是不是抽搐完之后非常快的就恢复了?还有就是到现在为止做过什么检查,或者用过什么药吗?他的家族历史之中,有没有癫痫的历史?
前两年都按时扎疫苗,去年11月应该扎,但因为疫情没扎
徐灿
执业兽医师
根据你的描述来看,比较像是癫痫,我需要问一下,当时抽搐的时候是不是四肢僵硬?是不是瞳孔放大?有没有小便失禁?还有没有当时的视频?另外就是能否详述一下他的年龄,他的家族历史之中,有没有癫痫的案例?
抽搐时,眼睛很直,身体四肢僵硬,有口水,鼻头发热,每次发病,站立不起来,都是在地上僵硬的扑腾,按摩20分钟左右,会恢复,然后自己找个没人的地方呆着
徐灿
执业兽医师
对于这种情况来说,基本上就能确定癫痫的可能性大一些,如果是这种情况的话,一般有两个办法,一个是做一个常规的系统性的检查,如果没有问题的话,可以确认为癫痫,另外一个办法就是直接用抗癫痫药物去控制,因为他的症状已经非常明显了,历史也明显,所以这种情况可以直接进行确认的。当然,最好是有发病时候的视频,这样的话更为直接和准确。
没有大小便失禁情况发生,最近一二个月发生这种情况的时间比较频繁,一个月左右一次,以前发生时,都是半年左右发生一次吧
徐灿
执业兽医师
时间跨度这么大的话,基本上就能确定是癫痫,个人建议是尝试着用一些药物去控制的,因为对于癫痫来说,绝大部分发病的频次会越来越多,所以一般来说就是用药物去控制,相对来说更为稳妥,如果你需要的话,我可以帮你开一个常用的方案建议,但是需要提出处方申请。
在家用药的话,没有经验,不好喂食,发病了,它嘴部僵硬,直扑腾,不敢碰它的嘴,而且发病,它不喝水,零食也不吃。每次发病后,它自己找地休息,恢复后就正常饮食了
徐灿
执业兽医师
这种情况只要按照公斤体重,然后核算公斤剂量就行,相对来说还是比较好用药的,每天口服两次就可以,你可以尝试用药,两个月左右,然后看一下是否能够控制住,如果说发病频次减少,或者说是没有发病的话,那么就可以做到确诊了。
徐灿
执业兽医师
是药片,一般来说,如果吃两个月有效果的话,后续肯定会长时间的吃,基本上最少也得半年,然后才能考虑逐渐的减量,因为癫痫和其他的疾病不太一样,基本上只能是用于预防的。
徐灿
执业兽医师
这个不一定,癫痫的话,一般大体分为三类,一种是遗传性癫痫,还有创伤性癫痫,还有一类是后天发生的特发性。遗传性的一般发病年龄在一岁半到五岁之间,这个年龄段高发,创伤性癫痫一般是像病毒性疾病,外伤等原因,或者受到剧烈的刺激,后天性的基本上就不太限制,年龄一般老年居多。
徐灿
执业兽医师
这个看体重,按照每公斤2.5毫克,一天吃两次,也就是说,40公斤吃一片,先按照最低剂量开始尝试,具体的量还得根据体重进行核算。
谢谢大夫,我想明天带狗狗去宠物医院再看看。谢谢您的细心指导
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
{"468908":{"id":468908,"case_id":52858,"user_id":1296147,"to_user_id":2274193,"type":3,"content":"这个不一定,癫痫的话,一般大体分为三类,一种是遗传性癫痫,还有创伤性癫痫,还有一类是后天发生的特发性。遗传性的一般发病年龄在一岁半到五岁之间,这个年龄段高发,创伤性癫痫一般是像病毒性疾病,外伤等原因,或者受到剧烈的刺激,后天性的基本上就不太限制,年龄一般老年居多。","media":{"images":{},"videos":{},"business_params":{"prescription_id":138384}},"is_doctor":1,"status":1,"created_at":"2023-03-03 02:43:50","show_rx":true,"rx_info":{"id":138384,"rx_no":2.02303030243485e+24,"user_id":2274193,"doctor_user_id":1296147,"is_independent":0,"case_id":3043904,"pet_info":{"pet_id":364852,"pet_name":"串串狗","pet_nickname":"毛球","pet_gender":1,"pet_birth":"3-8","pet_weight":24,"pet_vaccination_status":0,"pet_in_insect_repellent_status":0,"pet_out_insect_repellent_status":0,"pet_age_format":"3岁8个月"},"diagnose":"癫痫","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2023-03-03 02:43:48","updated_at":"2023-03-03 02:43:50","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":82977,"prescription_id":138384,"doctor_user_id":1296147,"product_id":819,"product_sku_id":861,"dose":2.5,"dose_unit":"mg","use_method":"口服","frequency":"每天2次","days":30,"number":2,"remark":"每公斤2.5毫克一天吃两次","created_at":"2023-03-03 02:43:48","updated_at":"2023-03-03 02:43:48","product_info":{"id":819,"hash_id":"02EmLAg0aNxo1NwW","class_ids":{"0":1},"category_ids":{"0":199},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":192,"sell_point":"拜维安苯巴比妥片100mg","title":"拜卡拜维安苯巴比妥片 100mg×8片×2板\/盒","recommend_reason":{"0":"用于犬猫具有镇静、抗惊厥、抗癫痫的作用","1":"用于缓解脑炎、破伤风、中毒所致的惊厥"},"baike_guide_text":"","baike_article_hash_id":"","advword":"癫痫,脑炎,惊厥,镇静","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"16片盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/00f9defbac5ae37e78528971f9b4f1b3.png","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":108,"max_price":108,"sale_count":848,"tags":"","sort":0,"status":0,"delete_status":0,"created_at":"2021-12-21 17:39:56","updated_at":"2024-10-02 13:19:01","ins":{"id":192,"hash_id":"evObG6x8eXpw0akj","class_ids":"[1]","title":"拜卡拜维安苯巴比妥片","common_name":"苯巴比妥片","trade_name":"拜维安","en_name":"phenobarbital tablets","brand_name":"拜卡","is_prescription":1,"cover":"\/drug\/2021\/12\/0027d1e7c41d3515b545ccc1c550dc68.PNG","specification":"100mg×8片×2板\/盒","reference_price":240,"component":"苯巴比妥","indication":"1.具有镇静、抗惊厥抗癫痫的作用。\n2.还用于缓解脑炎、破伤风、中毒所致的惊厥等。","usage_dosage":"用于抗癫痫治疗时,犬的口服推荐剂量是2.5-3mg\/kg,每天2次;猫的口服推荐剂量是1-2mg\/kg,每天2次。\n另外:\n1.用于镇静:2.2-6.6mg\/kg 口服,每天2次\n2.治疗肠应激综合征:2.2mg\/kg,口服,每天2次\n3.强迫症的支持治疗:2-20mg\/kg,每12-24小时一次\n4.精神性皮肤病:犬:0.5-2.2mg\/kg 猫:每只15mg,每周2次\n5.控制猫应激时的吼叫(如驾车时):2-3mg\/kg,口服\n6.抗破伤风等导致的惊厥:1-4mg\/kg,口服,每天2次","contraindication":"肝肾功能不全、支气管哮喘或呼吸抑制的患病动物禁用。严重贫血、心脏疾患的患病动物及怀孕动物慎用。","adverse_reaction":"常见的不良反应有镇静、共济失调、多食、多饮、多尿等,相对犬而言,猫的多饮多尿较为少见。体重的增加是服用苯巴比妥药物的常见问题,而且这可能是个无法避免的副作用,要控制饮食,尽管宠物表现的很饿。肝毒性进展是一种罕见的并发症,显着的肝毒性的临床特征包括厌食、沉郁、腹水和偶见的黄疸,偶见肝性皮肤病,极少数病例可引起贫血、血小板减少和中性粒细胞的减少,其它不常见副反应有面部或全身性的瘙痒、免疫介导的超敏反应,如发烧、皮疹和淋巴结增大,引起胰腺炎、猫假性淋巴瘤(罕见),通常这些不良反应在停药和适当的治疗后,是可逆的。","attention":"1.中毒时可用安钠咖、戊四氮、尼可刹米等中枢兴奋药解救。\n2.内服中毒的初期,可先用1:2000的高锰酸钾洗胃,再以硫酸钠(忌用硫酸镁)导泻,并结合用碳酸氢钠碱化尿液以加速药物排泄。","interaction":"","approval_no":"兽药字150041225","storage_method":"常温通风的环境。","validity":"3年","manufacturer":"济宁万禾生物科技有限公司","status":0,"created_at":"2021-12-01 16:47:12","updated_at":"2024-10-10 10:52:48"}},"product_sku_info":{"id":861,"product_id":819,"title":"拜卡拜维安苯巴比妥片 100mg×8片×2板\/盒","advword":null,"price":108,"market_price":160,"cost_price":0,"stock":0,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"16片盒装"}},"cover":null,"thumb":"","sale_count":881,"status":0,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-21 17:39:56","updated_at":"2024-10-02 13:19:01"}}},"drug_data_bak":{"0":{"id":82977,"prescription_id":138384,"doctor_user_id":1296147,"product_id":819,"product_sku_id":861,"dose":2.5,"dose_unit":"mg","use_method":"口服","frequency":"每天2次","days":30,"number":2,"remark":"每公斤2.5毫克一天吃两次","created_at":"2023-03-03 02:43:48","updated_at":"2023-03-03 02:43:48","product_info":{"id":819,"hash_id":"02EmLAg0aNxo1NwW","class_ids":{"0":1},"category_ids":{"0":199},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":192,"sell_point":"拜维安苯巴比妥片100mg","title":"拜卡拜维安苯巴比妥片 100mg×8片×2板\/盒","recommend_reason":{"0":"用于犬猫具有镇静、抗惊厥、抗癫痫的作用","1":"用于缓解脑炎、破伤风、中毒所致的惊厥"},"baike_guide_text":"","baike_article_hash_id":"","advword":"癫痫,脑炎,惊厥,镇静","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"16片盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/00f9defbac5ae37e78528971f9b4f1b3.png","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":108,"max_price":108,"sale_count":848,"tags":"","sort":0,"status":0,"delete_status":0,"created_at":"2021-12-21 17:39:56","updated_at":"2024-10-02 13:19:01","ins":{"id":192,"hash_id":"evObG6x8eXpw0akj","class_ids":"[1]","title":"拜卡拜维安苯巴比妥片","common_name":"苯巴比妥片","trade_name":"拜维安","en_name":"phenobarbital tablets","brand_name":"拜卡","is_prescription":1,"cover":"\/drug\/2021\/12\/0027d1e7c41d3515b545ccc1c550dc68.PNG","specification":"100mg×8片×2板\/盒","reference_price":240,"component":"苯巴比妥","indication":"1.具有镇静、抗惊厥抗癫痫的作用。\n2.还用于缓解脑炎、破伤风、中毒所致的惊厥等。","usage_dosage":"用于抗癫痫治疗时,犬的口服推荐剂量是2.5-3mg\/kg,每天2次;猫的口服推荐剂量是1-2mg\/kg,每天2次。\n另外:\n1.用于镇静:2.2-6.6mg\/kg 口服,每天2次\n2.治疗肠应激综合征:2.2mg\/kg,口服,每天2次\n3.强迫症的支持治疗:2-20mg\/kg,每12-24小时一次\n4.精神性皮肤病:犬:0.5-2.2mg\/kg 猫:每只15mg,每周2次\n5.控制猫应激时的吼叫(如驾车时):2-3mg\/kg,口服\n6.抗破伤风等导致的惊厥:1-4mg\/kg,口服,每天2次","contraindication":"肝肾功能不全、支气管哮喘或呼吸抑制的患病动物禁用。严重贫血、心脏疾患的患病动物及怀孕动物慎用。","adverse_reaction":"常见的不良反应有镇静、共济失调、多食、多饮、多尿等,相对犬而言,猫的多饮多尿较为少见。体重的增加是服用苯巴比妥药物的常见问题,而且这可能是个无法避免的副作用,要控制饮食,尽管宠物表现的很饿。肝毒性进展是一种罕见的并发症,显着的肝毒性的临床特征包括厌食、沉郁、腹水和偶见的黄疸,偶见肝性皮肤病,极少数病例可引起贫血、血小板减少和中性粒细胞的减少,其它不常见副反应有面部或全身性的瘙痒、免疫介导的超敏反应,如发烧、皮疹和淋巴结增大,引起胰腺炎、猫假性淋巴瘤(罕见),通常这些不良反应在停药和适当的治疗后,是可逆的。","attention":"1.中毒时可用安钠咖、戊四氮、尼可刹米等中枢兴奋药解救。\n2.内服中毒的初期,可先用1:2000的高锰酸钾洗胃,再以硫酸钠(忌用硫酸镁)导泻,并结合用碳酸氢钠碱化尿液以加速药物排泄。","interaction":"","approval_no":"兽药字150041225","storage_method":"常温通风的环境。","validity":"3年","manufacturer":"济宁万禾生物科技有限公司","status":0,"created_at":"2021-12-01 16:47:12","updated_at":"2024-10-10 10:52:48"}},"product_sku_info":{"id":861,"product_id":819,"title":"拜卡拜维安苯巴比妥片 100mg×8片×2板\/盒","advword":null,"price":108,"market_price":160,"cost_price":0,"stock":0,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"16片盒装"}},"cover":null,"thumb":"","sale_count":881,"status":0,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-21 17:39:56","updated_at":"2024-10-02 13:19:01"}}}}}}
微信扫一扫
立即问宠医