猫咪耳朵脏用了药之后干净了没用又脏了

{"522826":{"id":522826,"case_id":58213,"user_id":2341257,"to_user_id":2414649,"type":3,"content":"宝贝家长你好，考虑宝贝有真菌性耳炎的情况，我给宝贝开具了一个处方，你可以根据实际需求自行选择购买。\n1，****是针对细菌性和真菌性耳炎等\n具体的用法用量可以点击处方查看，也可根据需求自行选择购买。\n注意在家给宝贝使用时需要先用滴耳液配合用棉签清理干净耳道后再用棉签涂抹软膏，这两个步骤可能在操作的时候宝贝可能会因为不舒服不好好配合，咱们一定要做到耐心细心，家长也不要因为不敢往深处清楚，导致耳道深处的没有得到清洁，会影响效果，猫咪是L型的耳道，稍微插深一点也没关系，治疗期间一定要坚持每天用药。","media":{"images":{},"videos":{},"business_params":{"prescription_id":153217}},"is_doctor":1,"status":1,"created_at":"2023-09-20 08:17:30","show_rx":true,"rx_info":{"id":153217,"rx_no":2.02309200816475e+24,"user_id":2414649,"doctor_user_id":2341257,"is_independent":0,"case_id":3167756,"pet_info":{"pet_id":403832,"pet_name":"橘猫","pet_nickname":"迟早","pet_gender":3,"pet_birth":"3-9","pet_weight":14,"pet_vaccination_status":1,"pet_in_insect_repellent_status":0,"pet_out_insect_repellent_status":1,"pet_age_format":"3岁9个月"},"diagnose":"耳朵感染","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2023-09-20 08:16:47","updated_at":"2023-09-20 08:17:30","deleted_at":null,"from_source":"online","template_id":271,"drug_data":{"0":{"id":115879,"prescription_id":153217,"doctor_user_id":2341257,"product_id":741,"product_sku_id":783,"dose":0.5,"dose_unit":"ml","use_method":"涂抹","frequency":"每天1次","days":7,"number":1,"remark":"","created_at":"2023-09-20 08:16:47","updated_at":"2023-09-20 08:16:47","product_info":{"id":741,"hash_id":"L6mEd3xGrygVGQ2W","class_ids":{"0":1,"1":2},"category_ids":{"19":180},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":163,"sell_point":"耳可舒复方咪康唑滴耳液","title":"维克 耳可舒复方咪康唑滴耳液 10ml\/瓶","recommend_reason":{"0":"对庆大霉素敏感的细菌","1":"对硝酸咪康唑敏感的真菌引起的外耳道炎"},"baike_guide_text":"","baike_article_hash_id":"","advword":"耳螨,马拉色菌,耳炎,耳朵异味","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"10ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/8220527a916ed97e84ca3c61f0c3dccb.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":98,"max_price":98,"sale_count":26,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 16:49:40","updated_at":"2023-10-16 09:16:59","ins":{"id":163,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"复方咪康唑滴耳液","trade_name":"耳可舒","en_name":"Compound Miconazole Ear Drops Fufang Mikangzuo Di'erye","brand_name":"维克","is_prescription":0,"cover":"\/drug\/2021\/03\/031e33fb06b68b6dae1d3ad679f51a1d.jpg","specification":"18ml\/瓶","reference_price":120,"component":"氢化可的松醋丙酯、硝酸咪康唑、硫酸庆大霉素","indication":"1.对庆大霉素敏感的细菌\n2.对硝酸咪康唑敏感的真菌（如皮屑芽孢菌）引起的犬外耳道炎和反复发作的犬猫外耳道炎","usage_dosage":"室温首次使用时摇匀。\n1.使用前将外耳道清洗干净，并剪掉用药部位周围多余的毛发。\n2.准备好泵和导管，将导管插入外耳道，用泵给药，给药后轻揉耳根部片刻，以便让药物进入耳道深处。\n3.每只感染耳朵每天1ML,连用5天·","contraindication":"","adverse_reaction":"1.耳朵有轻微发红，偶有丘疹发生。\n2.可能会引起老龄狗暂时性听力障碍","attention":"1.对赋形剂、皮质类固醇和唑类抗真菌类及氨基糖苷类敏感的动物禁用。\n2.不可同时使用相同成分的其他产品，或其它已知有耳毒性的药物，以免引起耳毒性。\n3.不慎皮肤接触，用水彻底清洗即可。不慎入眼，大量清水冲洗。\n4.怀孕期和哺乳期的狗未进行安全性研究。\n5.如发生过敏，应停止使用，并适当治疗。","interaction":"","approval_no":"（2015）外兽药证字04号","storage_method":"遮光，阴凉处保存","validity":"18个月","manufacturer":"洛阳朗威动物药业有限公司","status":1,"created_at":"2021-03-15 11:52:53","updated_at":"2021-03-15 11:52:53"}},"product_sku_info":{"id":783,"product_id":741,"title":"维克 耳可舒复方咪康唑滴耳液 10ml\/瓶","advword":null,"price":98,"market_price":120,"cost_price":0,"stock":73,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"10ml"}},"cover":null,"thumb":"","sale_count":27,"status":1,"delete_status":0,"created_at":"2021-12-17 16:49:40","updated_at":"2023-10-15 15:50:41"}}},"drug_data_bak":{"0":{"id":115879,"prescription_id":153217,"doctor_user_id":2341257,"product_id":741,"product_sku_id":783,"dose":0.5,"dose_unit":"ml","use_method":"涂抹","frequency":"每天1次","days":7,"number":1,"remark":"","created_at":"2023-09-20 08:16:47","updated_at":"2023-09-20 08:16:47","product_info":{"id":741,"hash_id":"L6mEd3xGrygVGQ2W","class_ids":{"0":1,"1":2},"category_ids":{"19":180},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":163,"sell_point":"耳可舒复方咪康唑滴耳液","title":"维克 耳可舒复方咪康唑滴耳液 10ml\/瓶","recommend_reason":{"0":"对庆大霉素敏感的细菌","1":"对硝酸咪康唑敏感的真菌引起的外耳道炎"},"baike_guide_text":"","baike_article_hash_id":"","advword":"耳螨,马拉色菌,耳炎,耳朵异味","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"10ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/8220527a916ed97e84ca3c61f0c3dccb.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":98,"max_price":98,"sale_count":26,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 16:49:40","updated_at":"2023-10-16 09:16:59","ins":{"id":163,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"复方咪康唑滴耳液","trade_name":"耳可舒","en_name":"Compound Miconazole Ear Drops Fufang Mikangzuo Di'erye","brand_name":"维克","is_prescription":0,"cover":"\/drug\/2021\/03\/031e33fb06b68b6dae1d3ad679f51a1d.jpg","specification":"18ml\/瓶","reference_price":120,"component":"氢化可的松醋丙酯、硝酸咪康唑、硫酸庆大霉素","indication":"1.对庆大霉素敏感的细菌\n2.对硝酸咪康唑敏感的真菌（如皮屑芽孢菌）引起的犬外耳道炎和反复发作的犬猫外耳道炎","usage_dosage":"室温首次使用时摇匀。\n1.使用前将外耳道清洗干净，并剪掉用药部位周围多余的毛发。\n2.准备好泵和导管，将导管插入外耳道，用泵给药，给药后轻揉耳根部片刻，以便让药物进入耳道深处。\n3.每只感染耳朵每天1ML,连用5天·","contraindication":"","adverse_reaction":"1.耳朵有轻微发红，偶有丘疹发生。\n2.可能会引起老龄狗暂时性听力障碍","attention":"1.对赋形剂、皮质类固醇和唑类抗真菌类及氨基糖苷类敏感的动物禁用。\n2.不可同时使用相同成分的其他产品，或其它已知有耳毒性的药物，以免引起耳毒性。\n3.不慎皮肤接触，用水彻底清洗即可。不慎入眼，大量清水冲洗。\n4.怀孕期和哺乳期的狗未进行安全性研究。\n5.如发生过敏，应停止使用，并适当治疗。","interaction":"","approval_no":"（2015）外兽药证字04号","storage_method":"遮光，阴凉处保存","validity":"18个月","manufacturer":"洛阳朗威动物药业有限公司","status":1,"created_at":"2021-03-15 11:52:53","updated_at":"2021-03-15 11:52:53"}},"product_sku_info":{"id":783,"product_id":741,"title":"维克 耳可舒复方咪康唑滴耳液 10ml\/瓶","advword":null,"price":98,"market_price":120,"cost_price":0,"stock":73,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"10ml"}},"cover":null,"thumb":"","sale_count":27,"status":1,"delete_status":0,"created_at":"2021-12-17 16:49:40","updated_at":"2023-10-15 15:50:41"}}}}}}