狗狗查出耳朵感染用药后没效果如何处理

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患宠信息:博美/弟弟/5岁

咨询描述:耳道持续这种分泌物,8月上旬有连续两周用药,后面停了一周,结果洗耳发现好多棕色分泌物,没好,再次检查说马拉色感染,内耳没问题,继续用药一周,感觉没啥效果,如何处理?

问题大致一样,细节不同?

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赵一强

执业兽医师

主人你好。首先您上传的这份报告,我没有看到图像里有特别明显的马拉色菌的表现。自己也可以在百度上搜一下马拉色的图片,类似于一个花生米。染色以后就是一个紫色的花生米样子。您可以对照一下您报告单上面的图片,我看的是没有特别典型的马拉色的表现。 宝贝的耳朵有红褐色的分泌物。耳道肯定是有炎症的。****对真菌感染和细菌感染以及寄生虫感染引起的一些炎耳道炎症都是有一定作用的。所以不管他的化验结果怎么样。正常用药的情况下,这个耳道最贵的最好的应该是有一些好转的。那么出现用药没效果。一方面需要和您确认一下,宝贝在治疗期间有没有全程佩戴伊丽莎白圈?宝贝自己挠不挠耳朵。您觉得您洗耳液每次洗耳朵的时候操作的有没有问题?每次洗耳液洗耳朵都能洗干净吗?

上次医院电脑看到花生米那样的图案,纸打印的不清晰。没有佩戴耳圈,平时也没看到他掏耳朵,偶尔耳朵自己动一下,每次洗耳朵也是用了足够的洗耳液很认真的在洗,医生说不要用太多****,每次一颗绿豆大小就可以,那接下来一周该如何处理?

赵一强

执业兽医师

主人您好,如果确定化验结果都没问题。真菌性耳炎。治疗的方式可以单用一个洗耳液和一个治疗真菌的专用喷剂。别用这种综合性太强的****。这个我可以待会儿重新给您开个处方,您可以参考用药看看效果。但是建议最好还是人看不到的时候把伊丽莎白圈带上。 如果实际上化验的结果当中,这种紫色的花生米,马拉色菌在显微镜上并不是很多,可能就是一个两个。那么我个人还是倾向于常规的一个细菌性的耳炎。建议治疗的方式是一个洗耳液搭配一个针对细菌的耳药。 然后考虑这种情况,为了避免有耳螨的因素。建议您一个月做一次体外驱虫。可以选择****。坚持半年。

前两周用的****,以前一直用的****,才换过来现在这个,可以不用换吧?

一般洗耳朵的水没有依赖性吧?可以长期每天用吗?

赵一强

执业兽医师

这个没有什么依赖性,就是普通的一个清洁的洗耳液。就和人用洗面奶洗脸是一样的。

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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