狗狗皮肤病严重伴有耳道感染

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患宠信息:拉布拉多/妹妹/7岁4个月

咨询描述:拉布拉多,母,七岁半,体重32kg 症状描述:狗狗身上很痒,一直挠。局部掉毛严重,身上有结痂和红块,还出了很多皮屑。耳朵有褐色的异物,而且非常臭。应该是耳道感染了,给它清洗,然后又喷了一些除螨的药,但是没有见好转还是很臭。但是褐色的异物减少了,以前一两天整个耳朵都是,现在少多了 患病时长:他这个样子有三四年了。每年暑假的时候都会这样反反复复,然后差不多两。每年暑假的时候都会这样反反复复,然后差不多两个月就好了 医院检查:前几天带她去医院检查,做了个显微镜的检测。说是弧菌感染,不是真菌没有看到真菌 用药情况:以前以为是真菌给他用的都是治真菌的药,现在没有用药。

问题大致一样,细节不同?

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王冲

执业兽医师

您好,弧菌属于细菌感染,但是细菌感染一般不会这么严重,个人感觉有螨虫的可能,建议再做显微镜刮片检查,但是需要刮出点血来,螨虫需要深层检测,而且容易每年反复发作。 细菌感染用药和螨虫不一样,建议换一家医院再次确定一下。 耳道内有褐色分泌物,很可能是耳道感染或者耳螨,治疗办法是这样的,您先用洗耳液滴到耳道里揉耳根,然后用棉棒把耳道里的分泌物清理干净,最后把耳药滴到耳道里,滴黄豆粒大小两滴就可以,滴进去再揉耳根,让药物在耳道里均匀涂抹在耳道。每天都是用两次药,先清洗后滴药,上午下午各一次。 如果您想先按照弧菌感染治疗的话,我可以先给您开治疗细菌的药,您先试试,如果用药一周左右没有明显效果,您再去医院重新刮片检查,您看这样可以吗? (若您需要离开本诊室,稍后可以到官方微信公众号“蘑菇宠医”内找到问诊订单继续和我沟通。)

上次做的就是显微镜刮片,说是弧菌感染。对它就是每年反反复复的。但是我们经常洗澡呀,会是螨虫感染吗?前一段时间它还行感觉没那么严重,这几天我感觉它越来越严重了,就是经常不停挠不停的挠。然后有时候痒的哼唧 他这样子是不是现在不能洗澡? 可以的,要不然先给我开一点治疗弧菌的药,然后我找时间再带她去看看是不是螨虫感染。她没有定时驱过虫但是驱过虫,上个月还驱虫了

王冲

执业兽医师

螨虫检测虽然也是做显微镜刮片检查,但是需要深层刮片,需要把病灶处刮出血才行,狗狗现在可以洗澡,但是需要洗药浴,不能用普通的浴液洗,而且洗澡后必须要完全吹干吹透才行,潮湿会加重皮肤感染,另外饮食也必须要清淡,肉类,高油高盐的食物会加重病情。 我需要明确一下狗狗体重,用药是根据体重服用的,狗狗体重是32kg吗?

是的31.5~32kg左右,要不然您给我开两种药吧,开治细菌的,还有治螨虫的,两种药可以一起吃吗?如果不能一起吃的话,我带它去检查检查,对开的药也可以有个依据,谢谢啦

王冲

执业兽医师

您好,处方中给您开的口服药和药浴都是治疗细菌的,螨虫用药是把药浴换成口服通灭,但是通灭这个药必须要在确诊的情况下才可以口服,没有确诊不建议贸然用药,如果确诊有螨虫,通灭您每天给狗狗喝一次,每次1.9ml,一定不要过量。 根据宝贝的情况,我给它开个处方。处方里面的 1******,抗感染,每天两次,每次1.5片 2***,止痒,每天两次,每次四片 3*********,使用香波,揉搓按摩直到泡沫覆盖全身,并使香波停留皮肤至少10分钟,然后用温水冲洗干净,最后彻底吹干。每周洗一次药浴,至少连续洗四周。 您可以根据需求自行选择购买

好的,谢谢医生。我一会儿就带她去检查看是不是螨虫感染。谢谢啦 通灭是什么药?具体的名字叫什么?口服还是打针?

王冲

执业兽医师

通灭是杀螨虫的,就是药名字,成分是多拉菌素,是口服的,不是皮下注射,用量就是按照每公斤0.06ml口服

你好医生,这是我带拉拉检查的结果,您看一下,是不是还是吃昨天开的药,它不是螨虫,检查出有真菌和细菌

为保护用户隐私不显示图片/视频

王冲

执业兽医师

您好,昨天给您开的三种药需要服用,通灭不用吃,然后您在当地医院再购买抗真菌口服药就可以了

医生建议及处方根据当前病情给出,仅适用于本次问诊

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针对狗狗患有皮肤病的情况,结合描述以及图片症状分析细菌感染的可能性更大。避免继发真菌的连带感染需要给狗狗进行药浴治疗,同时配合外用药和口服药治疗。建议最好带狗狗去宠物医院做皮肤镜检,进一步确定发病部位有没有继发真菌感染。

狗狗皮肤病严重怎么办

魏新立

执业兽医师

针对狗狗有严重的皮肤病并且一直没好,建议及时带狗狗去宠物医院进行皮肤病的基础检查,确定病因再对症用药治疗。皮肤病主要考虑蠕型螨、真菌或者细菌性的感染,如果是蠕型螨需要使用针对性的驱虫药治疗,如果是真菌或者细菌性导致可以给狗狗用抗真菌和细菌的香波来泡药浴,同时使用外用的喷剂治疗,治疗期间建议给狗狗佩戴脖圈。狗狗皮肤黑色主要是是皮肤病引起,等皮肤病康复后慢慢就会恢复正常,可以口服改善黑色素沉积的药物。

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苏鹏

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这种情况最好带一个保护罩给狗狗进行保护,避免狗狗对皮肤进一步的破坏,造成更加严重的感染。

狗狗皮肤病严重应该怎么办

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执业兽医师

根据狗狗出现皮肤病的情况,结合描述以及照片分析可能是由于皮肤浅表脓皮症导致。建议最好给狗狗戴个伊丽莎白圈,防止狗狗抓挠患处,频繁抓挠容易引起皮肤破溃。治疗一般给狗狗口服抗生素,同时还需要配合外用药进行治疗。

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13:25:46","product_info":{"id":925,"hash_id":"z9y32wx7VMgROl16","class_ids":{"0":1},"category_ids":{"11":172},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":229,"sell_point":"爱波克马来酸奥拉替尼片3.6mg×10片","title":"辉瑞爱波克马来酸奥拉替尼片3.6mg×10片","recommend_reason":{"0":"用于控制过敏性皮炎引发的瘙痒","1":"控制1岁以上犬只的异位性皮炎"},"baike_guide_text":"","baike_article_hash_id":"","advword":"过敏性皮炎,瘙痒,异位性皮炎,爱波克,奥拉替尼","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"10粒拆装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2022\/05\/ab42b2486a52db337db578205092b124.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":188,"max_price":188,"sale_count":87,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2022-05-13 17:11:16","updated_at":"2024-11-22 09:14:32","ins":{"id":229,"hash_id":"7REJ0W4A5w4PBVAK","class_ids":"[\u00221\u0022]","title":"爱波克马来酸奥拉替尼片3.6mg×10片","common_name":"马来酸奥拉替尼片","trade_name":"爱波克","en_name":"apoquel(oclacitinibtablet)","brand_name":"辉瑞","is_prescription":1,"cover":"\/drug\/2022\/05\/4d1f18cdf3682ebf6a407f300aa2a499.jpeg","specification":"3.6mg×10片","reference_price":250,"component":"马来酸奥拉替尼","indication":"用于控制过敏性皮炎引发的瘙痒以及控制1岁以上犬只的异位性皮炎。","usage_dosage":"以奥拉替尼计,0.4-0.6mg\/kg体重,口服,每日2次,连用14天,然后每日1次维持治疗,可拌食或直接喂食。","contraindication":"1.十二月龄以下犬只禁用;\n2.严重感染的犬只禁用;\n3.繁殖用种公犬及妊娠期、哺乳期的母犬禁用;","adverse_reaction":"1.用于治疗异位性皮炎,长期持续给药可能发生腹泻、呕吐、厌食、嗜睡等不良反应。会导致白细胞系和血清球蛋白数量下降,胆固醇和脂肪酶含量有所升高但均值仍在正常范围内,在使用本品的第14天,平均淋巴细胞数量会短暂升高。\n2.用于治疗过敏性皮炎引发的瘙痒,长期持续给药可能发生腹泻、呕吐、厌食、嗜睡、烦渴等不良反应。白细胞系数量会有轻微上升,但仍在正常范围之内。在使用本品的第7天,平均淋巴细胞数量升高,但在无间断使用本品的临床试验结束之时又恢复到预处理水平。临床试验的30天内,没有发生任何致死和不良反应。","attention":"1.本品与糖皮质激素、环孢菌素或者其他免疫抑制剂的联用未经评估\n2.本品可能会增加传染病的易感性,包括蠕形螨以及恶性肿瘤。\n3.本品不可人用,请将本品放到儿童接触不到的地方,只能用于犬。\n4.接触过药片后请立即洗手。万一发生意外的眼睛接触,应立即用大量的清水或盐水冲洗至少15分钟,然后就医。\n5.如果不慎吞下,请立即就医。","interaction":"","approval_no":"(2019)外兽药证字25号","storage_method":"20℃-25℃室温下储存,可允许偏差范围为15℃-40℃。","validity":"2年","manufacturer":"辉瑞意大利阿斯科利制药厂","status":1,"created_at":"2022-05-13 17:07:24","updated_at":"2022-05-13 17:07:24"}},"product_sku_info":{"id":966,"product_id":925,"title":"辉瑞爱波克马来酸奥拉替尼片3.6mg×10片","advword":null,"price":188,"market_price":229,"cost_price":0,"stock":962,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"10粒拆装"}},"cover":null,"thumb":"","sale_count":91,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2022-05-13 17:11:16","updated_at":"2024-11-21 21:26:59"}}}}}}

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