咨询描述:你好,家兔,两岁了,从小就容易脚炎,反反复复,一直用碘伏****双氧水,偶尔吃****治疗,这两年不间断没少吃,现在由于脚炎兔兔前脚增生肿大越来越大,从暑假到现在,增生越来越大,精神状态还行,就是一直增生肿大影响走路,还有点溃烂,一直好不了,怎么办
用药情况:****碘伏****双氧水
患病时长:从小到大一直脚炎反反复复,两年了
问题大致一样,细节不同?
于博
执业兽医师
根据您目前提供这些信息,我初步有个方向。为了进一步判断宝贝的情况我还有几个问题需要向你核实一下哈
1.一般什么时候犯病呢?潮湿情况或者季节、还是固定几天
2.是每天都用双氧水消杀皮肤吗?
3.有包扎吗?
4.那个溃疡是什么时候开始有的呢?可以愈合吗还是一直就有呢?
1.我感觉从他三个月以后,就有脚炎,反反复复,和季节没多大关系,好了又会有,严重起来溃烂,它会去咬,然后就是流血,很难恢复,只能说更轻微,
2没有每天双氧水,就是偶尔用,现在我都是碘伏消毒****软膏涂一下,用纱布包着,有时候觉得不透气,纱布我都不用了,就是关在笼子里,活动空间小。它经常会踩到尿或者粑粑,然后就是经常给他洗澡。因为踩到粑粑肯定要洗的,
3溃烂的位置就是它的右手增生越来越大,踩在兔笼子,估计磨的破皮反反复复踩到尿加上洗澡泡水,我估计是这样导致的,我今天给他涂抹碘伏****纱布包扎,吃了****一颗
上次看了另一个医生,是暑假,可是没有好,兔兔越来越严重,兔兔最近每天都洗澡,我好焦虑,闹心。它的增生越来越大,我想能保守治疗就保守治疗,不想做手术。
为保护用户隐私不显示图片/视频
于博
执业兽医师
好的,这个是胼底炎,是兔子常见的脚病。一般是没有绝育的经常跺脚或者笼子摩擦刺激的。然后环境潮湿沾粪便尿液会加重问题。
目前它这种情况已经会严重了,因为已经有溃疡了,建议您需要先去医院拍个拍片子看一下骨膜有没有发炎,如果已经侵害到骨膜了,那恢复就比较困难了。严重的需要截肢,或者每天打封闭针可以缓解控制一下。
如果没有伤到骨膜可以考虑先继续保守治疗试试。
双氧水就不要用了,刺激性太大。口服药****也不要用了,副作用加不对症。
保守治疗方案:
1.佩戴头圈,防止舔咬
2.患部及周围剃毛,清理干净结痂,分泌物
3.每天用碘伏兑水1比5 比例泡脚清理干净 表面脏物。
4.干净后涂抹外用药物,然后包扎起来
5.笼子里一定保持柔软,干净(可以垫毯子)
6.口服药物控制感染****代替****
于博
执业兽医师
1.**** 一天一次,一次半片 抑制感染
2.****一天一次涂抹患处 去腐生肌
您纱布块可以垫一片后,外面再缠一圈纱布,然后买个弹力绷带(自粘绷带)再包一下。保持干净,干燥。笼子下面铺软毯子。
那它这个手增生肿大越来越大这个怎么办,怎么控制,我感觉这个手增生肿大是最严重的,从暑假到现在一两个月,现在它增生一直在越来越大,
还有那个药在哪里买,医药店有吗
关于洗澡问题,要不要给它洗,我有垫子,但是它每次都是尿在垫子上,自己脚又踩到,有时候会踩到尿粑粑,
纱布包扎多久,我我有时候又不敢包扎,怕不透气,
他精神很好,每天能吃能喝,也能蹦蹦跳跳,骨膜炎应该不会,我也不知道
为保护用户隐私不显示图片/视频
于博
执业兽医师
口服药和外用药都给您开处方了,可以在平台购买,也可以在正规渠道购买。额外需要您自己买头圈,碘伏,纱布,自粘绷带这些。
您需要带去拍个片子确认有没有骨膜发炎的情况。如果骨膜有发炎那保守治疗应该没有太大好转。洗澡不重要,主要一定要保持爪子卫生,生活部位柔软,否则不会好转。增大红肿是因为一直有炎症刺激,得不到控制引起的。如果炎症控制住,慢慢颜色和肿胀就会好转了
所以现在您要保证它的爪子干净,干燥。每天换药包扎,生活区柔软干净。如果保守有作用,一般半个月会有好转的情况
好。我买药了,按你说的做,
弹力绷带药店有卖的吗,
这个头圈兔兔不好好带,是不是24小时都要带,
那我现在就按你说的,给它吃这种药,涂这种药膏,
可是快递也要两三天,我现在这两天用什么药
于博
执业兽医师
弹力绷带(自粘绷带)宠物医院或者网上都有卖
头圈24小时带好,不能让他再舔咬了。纱布和自粘绷带都透气不用担心,不要缠的太紧以免血流受阻,因为弹力绷带有弹性,您每缠一圈用一个手指头垫里面,然后缠一圈再把手指头抽出来就是正好的松紧度。
现在您就先用碘伏和****软膏清理创口。
每天垫子毯子勤换一下。不行就先给它空间弄大一些,有足够的地方,以免长时间在潮湿脏的地区活动
于博
执业兽医师
如果拍片子骨膜感染了,那就考虑要么每天打打封闭针或者截肢就可以了,保守就不用尝试。
两周之后如果还是没有好转,就打封闭针治疗。
肿大的部位,如果好转会有回缩一些,但是毕竟增生了,恢复原来大小不太可能。但是皮肤颜色会恢复正常,不再疼痛
打封闭针一般需要多少钱
还有兔兔这个增生宠物医院可以通过手术切除恢复原样吗,大概多少费用,安全吗
于博
执业兽医师
每个城市和医院的费用都是不一样的,您可以多咨询几家您所在城市的价格。但封闭应该不会很贵。
那个部位不好做部分切除的,愈合不良。如果保守没有作用一般需要截肢。如果身体器官没有疾病,青年动物麻醉风险相对安全。价钱也是每家都不同的
还是保守治疗,兔兔精神还好,现在也能走也能跳,虽然增生,但是能行走,,如果截肢不就毁了它,你觉得呢
于博
执业兽医师
如果能保守肯定是不手术的。所以您要先去拍个片子看一下有没有感染到骨莫。如果感染骨莫了就要考虑手术内容。但是如果封闭能控制长期控制也可以的
于博
执业兽医师
非常感谢您对蘑菇宠医的信任。如果我的回答能够帮到您,请您在咨询结束后留下5星评价,您的评价是我工作最大的支持,感谢。后续宠物有其他问题,您可以到“蘑菇宠医”官方微信公众号继续向我提问。
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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