吴瑞珽
执业兽医师
您好家长,感谢您对我以及蘑菇宠医平台的信任!问题我已经看到,我需要5 分钟左右分析问题,并编辑文字回复您。很理解您焦急的心情,我尽量以最快的速度回复您。(请勿回复此条消息,避免浪费追问机会。)
(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。)
您好请问我家狗狗嘎吱窝那里长了很多密集的小黑点,这是疥螨吗?
吴瑞珽
执业兽医师
根据您以上描述,还不能做出进一步的判断小家伙的病情。我还有几个问题需要向你核实一下。1. 出来大概有多长时间了?;2. 是怎么确定的,做的皮肤镜检吗?;3. 目前有没有给他用过什么药?;4. 知道在哪个区域?;以上这些情况建议您仔细回忆后并尽量详细的描述给我,对我给宝贝目前情况的判断以及制定治疗方案有非常大的帮助,感谢您的配合
吴瑞珽
执业兽医师
麻烦您发几张照片儿我看一下。然后回答一下我上面的问题。我这边儿给您大概诊断一下。
大概有1星期多,我是在网上搜查图片做的比较,目前给他擦的是***这类止痒抑菌的,在嘎吱窝那里
吴瑞珽
执业兽医师
好的,您的描述我已经看到了。因为我这边儿没有看到图片。您这边儿这些外用药对体外寄生虫疥螨没有太大的作用。这些药物还是先用着,我这边儿给您找个能驱虫的药物。
医生我给他买了******素透皮溶液,但本月已经用过了体外驱虫药剂,在这之后发现了这个皮肤病,我还能再用吗
为保护用户隐私不显示图片/视频
吴瑞珽
执业兽医师
你好,如果已经用了体外驱虫药我看这个药物是******。如果是得了减满的话,它的效果是非常好的。而且你已经给他用过,应该不会感染疥螨。感染后会有明显的瘙痒。而且比较多见于耳朵边缘。目前这种症状看着不像。您可以先用您之前说的那些药先涂抹试试。然后保持身体的干燥。这两天不要乱喂吃的,尽量只吃狗粮。如果还是不放心那么就可以做一下皮肤镜检。看是不是有细菌感染?或者是有真菌感染。以及异位性皮炎。
我之前给他用的不是******,感觉效果不太好。我才买的阿维菌素,但还没用过
吴瑞珽
执业兽医师
******还有******都是很好的预防节肢类体外寄生虫的药物。如果是寄生虫感染效果还是不错的,但是一定要控制住剂量,不要过大。
那我个月还能再用一次吗?在已经用过体外驱虫药物的前提下
吴瑞珽
执业兽医师
我的建议你先去做一下皮肤镜检,看这块儿发黑的到底是真菌感染还是细菌感染。,还是体外寄生虫。确定之后再给他做驱虫。因为按照你的描述,你之前没多长时间已经给他做过体外驱虫。正常的话它是不会感染的。我感觉更趋向于其他的皮肤病,而不是体外寄生虫。确定之后再给他看用不用这个药。
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
{"503979":{"id":503979,"case_id":56327,"user_id":1511408,"to_user_id":2400973,"type":3,"content":"好的,您的描述我已经看到了。因为我这边儿没有看到图片。您这边儿这些外用药对体外寄生虫疥螨没有太大的作用。这些药物还是先用着,我这边儿给您找个能驱虫的药物。","media":{"images":{},"videos":{},"business_params":{"prescription_id":151283}},"is_doctor":1,"status":1,"created_at":"2023-08-28 10:22:10","show_rx":true,"rx_info":{"id":151283,"rx_no":2.02308281022075e+24,"user_id":2400973,"doctor_user_id":1511408,"is_independent":0,"case_id":3155624,"pet_info":{"pet_id":399254,"pet_name":"串串狗","pet_nickname":"崽崽","pet_gender":1,"pet_birth":"6-7","pet_weight":4,"pet_vaccination_status":1,"pet_in_insect_repellent_status":1,"pet_out_insect_repellent_status":1,"pet_age_format":"6岁7个月"},"diagnose":"驱虫","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2023-08-28 10:22:07","updated_at":"2023-08-28 10:22:10","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":111563,"prescription_id":151283,"doctor_user_id":1511408,"product_id":888,"product_sku_id":929,"dose":1,"dose_unit":"ml","use_method":"涂抹","frequency":"每天1次","days":30,"number":1,"remark":"","created_at":"2023-08-28 10:22:07","updated_at":"2023-08-28 10:22:07","product_info":{"id":888,"hash_id":"V9we7N4JwbgPbGWA","class_ids":{"1":2},"category_ids":{"16":177},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":199,"sell_point":"福来恩复方非泼罗尼滴剂(猫用)","title":"梅里亚福来恩复方非泼罗尼滴剂(猫用)0.5ml×1支","recommend_reason":{"0":"用于驱杀猫体表的成年跳蚤,跳蚤卵,幼虫"},"baike_guide_text":"","baike_article_hash_id":"","advword":"体外驱虫,猫驱虫,跳蚤,蜱虫,福来恩,外用驱虫","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"单支装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2022\/01\/b051b317dc3a3979326a31e48bcc6654.JPG","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":62,"max_price":62,"sale_count":14,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2022-01-11 18:10:42","updated_at":"2025-05-19 15:16:27","ins":{"id":199,"hash_id":"kAW7LMp6q1xBVDnv","class_ids":"{\u00221\u0022:\u00222\u0022}","title":"福来恩复方非泼罗尼增效滴剂","common_name":"复方非泼罗尼滴剂(猫用)","trade_name":"福来恩增效滴剂","en_name":"Frontline","brand_name":"梅里亚","is_prescription":0,"cover":"\/drug\/2022\/01\/c2e4383d3c9bf420b2f31ea6d8892ccb.JPG","specification":"0.5ml×3支\/盒","reference_price":198,"component":"非泼罗尼,甲氧普希","indication":"用于驱杀猫体表的成年跳蚤,跳蚤卵,幼虫。","usage_dosage":"1.确认毛发已经干燥后,将滴管尖端折断。\n2.拨开犬猫肩胛骨间的毛发,将福来恩滴剂直接滴在皮肤上,注意不要滴在毛发上。药剂在毛发上会蒸发掉,很少量进入皮脂腺储藏起来,会限制产品效力的发挥。\n3.按压滴管,确认一整管全部滴完。\n4.每月一次,每宠一剂,不要分享。","contraindication":"","adverse_reaction":"","attention":"1.福来恩滴剂和喷剂能持续杀灭跳蚤与壁虱,效果长达30天。为取得最佳效果,建议使用前2天和使用后2天避免用洗浴液洗澡,保证福来恩药剂贮存到位。\n2.对某些对外寄生虫药剂敏感的个体,投药处可能出现暂时性刺激,例如皮肤红肿,脱毛等,多数病例数天后可自行恢复,若症状不退或加剧,请立即与兽医师联系。\n3.由于溶剂中含有苦味,若犬猫舔后出现流涎症状,但不会造成伤害。\n4.使用时,人若不慎接触到药剂,请以清水或肥皂水冲洗。\n5.使用后,只需滴药处毛发干燥之后,即可正常抚摸和拥抱犬猫,享受零距离的接触。\n6.请放于儿童接触不到的地方,储存于常温干躁阴暗处,不可冷藏或冷冻。","interaction":"","approval_no":"(2016)外兽药证字25号","storage_method":"遮光,在阴凉干燥处保存。","validity":"2年","manufacturer":"梅里亚有限公司法国吐鲁兹生产厂(Merial Toulouse)","status":1,"created_at":"2022-01-11 18:03:54","updated_at":"2022-01-11 18:03:54"}},"product_sku_info":{"id":929,"product_id":888,"title":"梅里亚福来恩复方非泼罗尼滴剂(猫用)0.5ml×1支","advword":null,"price":62,"market_price":88,"cost_price":40,"stock":91,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"单支装"}},"cover":null,"thumb":"","sale_count":14,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2022-01-11 18:10:42","updated_at":"2025-05-19 15:11:00"}}},"drug_data_bak":{"0":{"id":111563,"prescription_id":151283,"doctor_user_id":1511408,"product_id":888,"product_sku_id":929,"dose":1,"dose_unit":"ml","use_method":"涂抹","frequency":"每天1次","days":30,"number":1,"remark":"","created_at":"2023-08-28 10:22:07","updated_at":"2023-08-28 10:22:07","product_info":{"id":888,"hash_id":"V9we7N4JwbgPbGWA","class_ids":{"1":2},"category_ids":{"16":177},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":199,"sell_point":"福来恩复方非泼罗尼滴剂(猫用)","title":"梅里亚福来恩复方非泼罗尼滴剂(猫用)0.5ml×1支","recommend_reason":{"0":"用于驱杀猫体表的成年跳蚤,跳蚤卵,幼虫"},"baike_guide_text":"","baike_article_hash_id":"","advword":"体外驱虫,猫驱虫,跳蚤,蜱虫,福来恩,外用驱虫","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"单支装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2022\/01\/b051b317dc3a3979326a31e48bcc6654.JPG","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":62,"max_price":62,"sale_count":14,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2022-01-11 18:10:42","updated_at":"2025-05-19 15:16:27","ins":{"id":199,"hash_id":"kAW7LMp6q1xBVDnv","class_ids":"{\u00221\u0022:\u00222\u0022}","title":"福来恩复方非泼罗尼增效滴剂","common_name":"复方非泼罗尼滴剂(猫用)","trade_name":"福来恩增效滴剂","en_name":"Frontline","brand_name":"梅里亚","is_prescription":0,"cover":"\/drug\/2022\/01\/c2e4383d3c9bf420b2f31ea6d8892ccb.JPG","specification":"0.5ml×3支\/盒","reference_price":198,"component":"非泼罗尼,甲氧普希","indication":"用于驱杀猫体表的成年跳蚤,跳蚤卵,幼虫。","usage_dosage":"1.确认毛发已经干燥后,将滴管尖端折断。\n2.拨开犬猫肩胛骨间的毛发,将福来恩滴剂直接滴在皮肤上,注意不要滴在毛发上。药剂在毛发上会蒸发掉,很少量进入皮脂腺储藏起来,会限制产品效力的发挥。\n3.按压滴管,确认一整管全部滴完。\n4.每月一次,每宠一剂,不要分享。","contraindication":"","adverse_reaction":"","attention":"1.福来恩滴剂和喷剂能持续杀灭跳蚤与壁虱,效果长达30天。为取得最佳效果,建议使用前2天和使用后2天避免用洗浴液洗澡,保证福来恩药剂贮存到位。\n2.对某些对外寄生虫药剂敏感的个体,投药处可能出现暂时性刺激,例如皮肤红肿,脱毛等,多数病例数天后可自行恢复,若症状不退或加剧,请立即与兽医师联系。\n3.由于溶剂中含有苦味,若犬猫舔后出现流涎症状,但不会造成伤害。\n4.使用时,人若不慎接触到药剂,请以清水或肥皂水冲洗。\n5.使用后,只需滴药处毛发干燥之后,即可正常抚摸和拥抱犬猫,享受零距离的接触。\n6.请放于儿童接触不到的地方,储存于常温干躁阴暗处,不可冷藏或冷冻。","interaction":"","approval_no":"(2016)外兽药证字25号","storage_method":"遮光,在阴凉干燥处保存。","validity":"2年","manufacturer":"梅里亚有限公司法国吐鲁兹生产厂(Merial Toulouse)","status":1,"created_at":"2022-01-11 18:03:54","updated_at":"2022-01-11 18:03:54"}},"product_sku_info":{"id":929,"product_id":888,"title":"梅里亚福来恩复方非泼罗尼滴剂(猫用)0.5ml×1支","advword":null,"price":62,"market_price":88,"cost_price":40,"stock":91,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"单支装"}},"cover":null,"thumb":"","sale_count":14,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2022-01-11 18:10:42","updated_at":"2025-05-19 15:11:00"}}}}}}
微信扫一扫
立即问宠医