咨询描述:医生你好,我家兔兔是垂耳兔,女孩子,未绝育,体重2.23。七月初便检查出来贾策鞭毛虫,医生说需要驱虫,但是因为我家兔兔消化道一直不太好,怕她抗生素副作用太大。所以医生在给抗生素之前开了益生菌给她吃,吃了一个礼拜以后我再去复查便便医生说视野下没看到,所以上次就没给她用****。并且医生也是一直给我家兔兔看病的医生,对兔兔身体比较了解。她也是担心因为我家兔兔胃肠道不太好所以用抗生素可能导致腹泻不爱吃东西之类的。
然后那次便检(七月初)到现在,我看到的她有两三次在家里会突然看上去比较难受,蹲在一个地方不动,给零食不吃。但是时间比较短,很快会缓解。然后一个星期之前她突然蹲在角落里喘气很大,看上去还有一点抖,我当时紧急去了医院,也做了便检,里面的滴虫比第一次还多,但是她的便便是成型的球球。然后拍片子显示有一点胀气但是不严重,就开了胃动力和消胀气的药,耶吃了蔡博士益生菌。哦对,这次难受去医院之前,她三四天都反常的摔碗,不爱吃草,便便也稍微少一点点。然后医生跟我说还是需要驱虫的,然后就先给她消了消胀气吃了几天药,打算今天过去拿****,我不太清楚需不需要驱虫。
她七月初到现在那几次不太舒服的原因是什么?很大概率是滴虫吗?因为我看了看很多人说滴虫驱虫还会反复,驱不干净,而且我家兔兔还消化道不太好,同样的病比别人反应大好的也慢。然后驱虫的话她之前那些生活用品吃的东西要怎么办,而且我家还有一只侏儒兔,严格来说不太可能把他们的东西完全区分开,也要驱虫吗,作为兔兔家长真的非常焦虑和着急,麻烦医生了,真的感谢。
之前一直在您这里问诊,您那边可能会有记录呢。谢谢您!
问题大致一样,细节不同?
王曌
执业兽医师
感谢再次问诊,它出现这个类似应急样子的呼吸急促考虑是肠胀气导致的腹痛。肠胀气原因可能是因为肠道有产气菌,或者给吃的食物在肠道发酵产气导致的。还有一种就是给吃促进肠道蠕动的药物过量,比如****。这种医源性的我碰到过。治疗方法也是消胀。其次你说的这个驱虫问题,我这样给你说把,球虫以及滴虫这些都会在体内有,主要是一个平衡的问题。给你举个例子,药品和毒品的区别就是用量的区别。因此你这边如果发现体内寄生虫增殖过多需要给用药抑制寄生虫的繁殖同时需要给增加抵抗力。目的是后边让抵抗力>增殖。这样后期就不会复发。这也是为什么需要定期驱虫的原因,因为体内势必会有部分虫卵,过一段时间成长为成虫。为了规避寄生虫的过度增殖。所以我给你的建议是可以定期驱虫的。
感谢医生,那么如果给她增加免疫力的话,会不会在不驱虫的情况下,她免疫力提高以后自己的身体就可以对抗那些虫子呢,以达到一个平衡,还有就是,如果下次又出现腹痛的问题,我需要在家里紧急给药吗,给什么药呢,我提前买好家中必备。还有她如果一定需要驱虫的话是否需要同时口服****,因为她消化道一直不好,网上说口服****可以促进食欲。
再次万分感谢医生
王曌
执业兽医师
寄生虫对机体的危害就是掠夺营养,再一个就是寄生虫的移行会对机体产生伤害,比如会破坏肠黏膜。导致肠出血,我给你说的意思是你可以控制寄生虫数量,让数量不要太高。想完全把寄生虫驱杀完基本不可能,而且它在外界很容易收到应激,从而导致抵抗力下降。再次出现腹涨痛可以给用****。口服****和驱虫不冲突的,完全可以用。
会不会某天非常突然的因为滴虫发病而且比较严重,就类似于球虫那种。那么是提倡定期驱虫,而不是尽量不驱虫对吧。但是我家兔兔主要是很害怕刺激胃肠道得不偿失。定期驱虫这个定期要怎么理解然后服用****的同时给她吃什么会尽量减少驱虫药带来的副反应呢。在给****期间口服****会给兔兔带来什么样的益处呢,用法用量是多少。
王曌
执业兽医师
贾第鞭毛虫会导致长期软便,球虫的话对兔子危害比较大。会导致死亡。平时可以一个月或者三个月给驱虫一次。****是抗滴虫以及厌氧菌的,像你说的你家兔子肠道不好,可能会导致厌食或者其他应激。而且****比较苦,兔子一般喜欢吃甜食,所以吃完****之后也可能出现抗拒吃饭情况。****能缓解。
可以把****掺在婴儿果泥里面喂吗,这样比较甜,果泥每次喂药需要给多少,给多怕腹泻。****用法用量是多少,需要喝哪些药隔开呀,医生可以开一个处方吗其实我是怕****杀灭滴虫的同时破坏兔兔的肠道正常菌群,导致她腹泻。她现在便便挺正常的,就是一个月可能难受一次,过会就好,但是便便一直正常。我就怕****吃进去导致破坏肠道正常菌群反而腹泻,怕自己得不偿失
家里有****(具体在下面图片里),喂****期间可以喂吗,是保健品,提高免疫力挺不错的。如果喂了****还需要喂****吗,我也是太担心了,唉,问题比较多,真的谢谢医生这么耐心给我解答
为保护用户隐私不显示图片/视频
王曌
执业兽医师
****不良反应比较少,常见的可能会出现眼球震颤,肝毒性等,你给喂****时候喂果泥大概喂3-5毫升的就可以。主要是让吃进去药。
****会不会对胃肠道毒性比较大,我是说✓肠道正常菌群破坏性非常大以至于腹泻,需要输液这样子,我在我家这边小宠医生那里看病,她跟我讲比较担心小白的胃肠道菌群失调导致腹泻,她说别的兔兔都还好,主要是她确实胃肠道挺脆弱的。你可以帮我分析一下嘛,最后一次追问了,真的很担心啊。万分感谢医生!
还有就是****✓兔兔都还好毒性是不是比****大(之前我家另外一只兔兔有点软便我妈妈喂了他****,吃了之后就好了而且没什么副作用)而且他和小白分笼的,但是毕竟在一个房间,是不是也需要便检驱虫呢
王曌
执业兽医师
****是比****的毒性大。****已经是很安全的药物了,副作用比较少,主要是通过肝脏代谢,长期吃会对肝脏损伤比较大,那边主要考虑可能是****对肠道厌氧菌杀的比较多,但是你这个又不是长期吃,就是定期驱虫吃,没问题的,吃的时候给吃上益生菌就可以。注意需要间隔半小时以上,和****。
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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