皮肤病一年多了。没化验,面诊说是真菌。打****三针,吃****唑一个月。效果差
赵阳
执业兽医师
宠物家长您好,首先****对真菌是无效的主要针对皮肤上常见的寄生虫有效,简单来说它是一个驱虫药。以前都是给大动物使的。****唑是治疗真菌感染的,如果是真菌感染应该是有效的,您可以先尝试添加客服****让客服把视频照片发给我看一下,由于提问次数有限,请你尽可能将问题整理在一起,避免浪费提问机会,谢谢。
赵阳
执业兽医师
宠物家长你好,视频我已经收到了,从视频上看全身大面积的红点或者红斑,病史一年,我还有些问题要向你问一下宠物全身有瘙痒的情况吗?宠物脸上鼻子周围有没有结痂或者破溃的地方?宠物皮肤上油脂分泌量大吗?吃喝大小便都正常吗?宠物还有没有别的异常情况需要补充的?
非常痒。鼻子脸周围没破溃结痂。油脂分泌量好像不大。食欲不是很好,但每天也吃。只是以前皮肤病不严重时食欲非常好。现在挑食,吃得也少。大便正常。小便黄(也许它不太爱喝水,也爱憋尿,即使住处很方便排便,是个大阳台。)次数好像也正常
异常就是,鼻子。它鼻头边缘有时会有一圈白色分泌物,形成一圈白线。鼻子上面有一些非常细小的小包,就像四分之一颗小米那么小。鼻子是黑色的,小包也是黑色,质地实,没有脓,水。可惜没拍照片
有两个问题。
1假如是真菌,我们这里没条件化验。如果不化验能治好吗
2有什么人用的药膏平替呢。太贵了宠物药。
赵阳
执业兽医师
宠物家长你好,根据我的个人经验不太像是真菌感染,如果是真菌你给它吃****唑应该是有效果的。而且从视频上的病燥形状还是位置都不像是真菌感染。更像是过敏引起的异位性皮炎,过敏性皮炎。不管是那种治疗起来都不太好治。费用也很高。这两种疾病都需要服用糖皮质激素治疗。人用的可替代产品可以购买****龙片,一天一次一次40mg也就是8片。医生本人和平台是不支持给宠物使用人用药的,由于你家宝贝的就医条件不足给出了此次用药建议,该用药的治疗效果及意外风险无法承担,还请你考虑后采纳。此药长期吃必须定时调整剂量,要不容易引起一些副作用。请你务必一周找我复查一次。同时我给您推荐两款浴液建议一起同时使用。3天洗一次药浴。先把全身的毛发打湿,然后涂抹浴液停至10~15分钟,把浴液冲掉,再把皮肤毛发吹干。两种浴液交替使用先用****,再用****。
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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