咨询描述:嘴巴周围特别红,之前没有那么明显,现在嘴巴周围泛红严重而且脱毛。到底怎么回事啊,平时它会偶尔用手挠嘴巴。现在应该怎么做可以缓解症状吗?可能是蠕形螨吗图一是现在,图二是之前的而且眼睛周围有点红
症状描述:
问题大致一样,细节不同?
曹航
执业兽医师
照片上看可能真菌,细菌混合感染,但是不排除有螨虫的风险 比如说蠕形螨和疥螨, 这种情况如果说想确诊的话,就带到医院做一个显微镜刮片就能确诊
如果说比较忙,没有时间想先用药物 只能是先口服一些抗生素,配合点外喷的药 但是如果说蠕形螨的话,可能要用特殊的药物
用什么样的抗生素呢?细菌是哪一种?好治吗?狗会不会很难受?需要戒饮食吗?
曹航
执业兽医师
第一个是外涂的,一天三次 第二个是口服的抗生素,每公斤12.5到25毫克,每天两次 一般是可能会有瘙痒的表现 有的可能会抓挠疼痛 饮食方面的话,就吃狗粮就可以了,其他的人吃的东西最好是停掉
想确定是哪一种细菌感染,比如说球菌、酵母菌还是其他的炎性细胞
要做一个显微镜化验,包括是否有螨虫,还有马拉色菌和小孢子菌 是需要化验才能确定
显微镜化验一般多少钱?狗狗的病会传染给人吗?现在情况算不算严重啊?细菌感染和驱虫没有做到位有关吗?如果做了体内外驱虫能不能好啊?平时睡的窝需要除螨或者做什么措施吗?
曹航
执业兽医师
一天化验一般100左右 这个皮肤病的话,一般不会传染人,除非是真菌感染 现在情况目前看不是很严重,因为还是局部性的 细菌感染最主要的就是皮肤免疫力低,还有就是潮湿 如果要是蠕形螨和疥螨的话,做体内外驱虫可能有效果 平时狗窝的话要注意清洗,一般一周左右就要处理一次,保持干燥
平时可以玩毛绒玩具吗?平时它喜欢咬毛绒玩具,都咬出棉花那种。要给它丢掉还是在清洁一下?
曹航
执业兽医师
最好是不要玩这些,如果上面有一些口水的话,他去频繁的咬的话,可能会让它潮湿 不太利于他这个恢复 你这种情况就是相当于暂时先别让他玩,等他好了之后,如果想玩的话还勉强可以
好的谢谢,我想问一下体外驱虫和体内驱虫要多久一次啊?那种硅胶鸭子可以玩吗?还有平时煮的骨头,它会藏起来然后过了很久找出来,很喜欢啃,这种骨头可以吃吗?会引发什么问题?嘴巴上的细菌和这有关系吗?
曹航
执业兽医师
体外驱虫一个月一次,体内的三个月一次 时间长了的话,这个骨头就不太建议用了,有变质的风险 除非是上面一点肉没有的那种 这个细菌应该和这个骨头不发生关系 最主要还是潮湿和皮肤免疫力低
曹航
执业兽医师
您好,由于你长时间没有回复,我这边还有一个急诊,麻烦你看到以后留言,我看到后会第一时间回复 感谢你的理解
好的,那和他平时发情喜欢舔自己有关吗?它因为发情已经得了湿疹。平时喝水要给他擦嘴吗?如果发情要制止吗?绝育了就会有改善吗?鼻子上平时亮亮的水要擦掉吗?需要多晒晒太阳吗?出门钻草丛要制止吗?如果近期不治疗后期会很严重吗?这个病好治吗?
曹航
执业兽医师
和他平时舔自己有一定关系,喝完水最好是给他擦嘴,然后保持干燥,肯定好的快 绝育了,肯定是有一定改善 他这个皮肤病和晒太阳和不晒太阳不发生关系
如果不治疗的话,可能会蔓延到其他位置或者更严重 皮肤病都不太好治疗,治疗的周期都比较长 所以说建议刮片看,对症治疗
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
{"548334":{"id":548334,"case_id":60979,"user_id":1972513,"to_user_id":2407877,"type":3,"content":"第一个是外涂的,一天三次 第二个是口服的抗生素,每公斤12.5到25毫克,每天两次 一般是可能会有瘙痒的表现 有的可能会抓挠疼痛 饮食方面的话,就吃狗粮就可以了,其他的人吃的东西最好是停掉\n想确定是哪一种细菌感染,比如说球菌、酵母菌还是其他的炎性细胞\n要做一个显微镜化验,包括是否有螨虫,还有马拉色菌和小孢子菌 是需要化验才能确定","media":{"images":{},"videos":{},"business_params":{"prescription_id":153455}},"is_doctor":1,"status":1,"created_at":"2023-09-22 22:22:46","show_rx":true,"rx_info":{"id":153455,"rx_no":2.02309222221395e+24,"user_id":2407877,"doctor_user_id":1972513,"is_independent":0,"case_id":3168983,"pet_info":{"pet_id":401516,"pet_name":"串串狗","pet_nickname":"金豆","pet_gender":1,"pet_birth":"0-11","pet_weight":8,"pet_vaccination_status":1,"pet_in_insect_repellent_status":0,"pet_out_insect_repellent_status":1,"pet_age_format":"11个月"},"diagnose":"细菌感染","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2023-09-22 22:21:39","updated_at":"2023-09-22 22:22:46","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":116407,"prescription_id":153455,"doctor_user_id":1972513,"product_id":812,"product_sku_id":854,"dose":1,"dose_unit":"抹","use_method":"涂抹","frequency":"每天3次","days":14,"number":1,"remark":"","created_at":"2023-09-22 22:21:39","updated_at":"2023-09-22 22:21:39","product_info":{"id":812,"hash_id":"VjX39W4zDPxQ0bvZ","class_ids":{"0":1,"1":2},"category_ids":{"8":169},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":4,"sell_point":"百灵金方抑菌膏10g","title":"贝里奥百灵金方抑菌膏 10g\/瓶\/盒","recommend_reason":{"0":"用于手术、术后切口、咬伤、烫伤、交通伤等创面感染","1":"用于细菌、真菌引起的皮肤及粘膜感染","2":"用于子宫及产道、外生殖器及肛门腺的感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"皮肤病,脓皮症,细菌感染","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"10g"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/8fd35c62b90e9eb884e32c271cdcc0c1.jpeg","images":{"0":"https:\/\/cdn.moguvet.com\/shop\/2023\/06\/b4a90fdc25766615b045299982a0dbf6.jpg","1":"https:\/\/cdn.moguvet.com\/shop\/2023\/06\/cb0fcbe97a1a93d979f82fbf7e02ddd2.jpg"},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":88,"max_price":88,"sale_count":281,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-21 16:36:03","updated_at":"2024-11-10 18:08:41","ins":{"id":4,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"百灵金方抑菌膏","trade_name":"百灵金方膏","en_name":"","brand_name":"贝里奥","is_prescription":0,"cover":"\/drug\/2020\/10\/a76d880a7848393054bd1d4991a3b027.JPG","specification":"10g\/瓶","reference_price":130,"component":"麝香、珍珠、冰片、细胞集落因子等。","indication":"1.手术中、术后切口、咬伤、烫伤、交通伤等创面感染、已经产生耐药菌的创面治疗。\n2.细菌、真菌引起的皮肤及粘膜感染、已经形成溃烂、溃疡等皮下组织感染。\n3.子宫及产道感染。\n4.外生殖器及肛门腺的感染。","usage_dosage":"1.外用,将膏体涂于创面,用量视感染面积大小而取,每日更换一次。\n2.溃烂疮面有流脓、渗血、渗水情况的,配合百灵金方粉撒在疮面薄薄一层,疮面周围涂百灵金方软膏,纱布包扎即可。","contraindication":"","adverse_reaction":"","attention":"1.外用,严禁内服。\n2.内含麝香,孕畜慎用。","interaction":"","approval_no":"","storage_method":"密封,在凉暗干燥处保存。","validity":"2年","manufacturer":"河南威灵仙宠生物科技有限公司","status":1,"created_at":"2020-10-21 14:13:33","updated_at":"2020-10-29 16:06:30"}},"product_sku_info":{"id":854,"product_id":812,"title":"贝里奥百灵金方抑菌膏 10g\/瓶\/盒","advword":null,"price":88,"market_price":140,"cost_price":0,"stock":763,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"10g"}},"cover":null,"thumb":"","sale_count":290,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-21 16:36:03","updated_at":"2024-11-10 09:35:28"}},"1":{"id":116408,"prescription_id":153455,"doctor_user_id":1972513,"product_id":709,"product_sku_id":752,"dose":25,"dose_unit":"mg","use_method":"口服","frequency":"每天2次","days":14,"number":1,"remark":"","created_at":"2023-09-22 22:21:39","updated_at":"2023-09-22 22:21:39","product_info":{"id":709,"hash_id":"lazo6rxWXWpOqD9E","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":5,"sell_point":"速诺(阿莫西林克拉维酸钾片)250mg","title":"辉瑞速诺(阿莫西林克拉维酸钾片)250mg×10片\/板","recommend_reason":{"0":"适用于宠物由敏感细菌引起的皮肤及软组织感染、呼吸道感染","1":"治疗宠物革兰氏阴性和革兰氏阳性敏感细菌的感染","2":"用于肠炎及其他感染,如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"呼吸道感染,肠炎,腹泻,便血,真菌感染,猫癣,脓皮症","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"250mg规格1板"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/0c5606ffe97cfdbe080e7c31980a047d.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":98,"max_price":98,"sale_count":673,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:43:15","updated_at":"2024-11-21 14:28:26","ins":{"id":5,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"阿莫西林克拉维酸钾片","trade_name":"速诺","en_name":"Synulox Palatable Tablets","brand_name":"辉瑞","is_prescription":1,"cover":"\/drug\/2020\/10\/b4e16954b19120b0d777543dde23b1da.JPG","specification":"250mg×10片×10板\/盒","reference_price":2200,"component":"阿莫西林和克拉维酸钾","indication":"适用于犬由敏感细菌引起的各种感染,及治疗犬革兰氏阴性和革兰氏阳性敏感细菌的感染。\n1、如皮肤及软组织感染脓性皮炎、脓肿和肛腺炎、蜂窝组织炎、伤口感染、腹内脓毒症等。\n2、牙感染(牙龈炎)。\n3、尿道感染,如膀胱炎、尿道炎、肾盂肾炎、前列腺炎、盆腔炎、淋病奈瑟菌尿路感染及软性下疳等。\n4、呼吸道感染,如鼻窦炎、扁桃体炎、咽炎、急慢性支气管炎、慢性支气管炎急性发作、肺炎、肺脓肿和支气管合并感染。\n5、肠炎及其他感染,如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染等。","usage_dosage":"口服。每天吃2次,连用5-7天。每次用量如下:\n体重9-12kg,吃0.5片;\n体重13-15kg,吃0.75片;\n体重16-22kg,吃1片;\n体重23-30kg,吃1.5片;\n体重31-40kg,吃2片;\n体重41kg及以上请购买同品500mg规格的产品。\n\n注:一些慢性感染(慢性皮炎、慢性膀胱炎和慢性呼吸道感染)的治疗可连用10-28天。","contraindication":"1. 仓鼠、豚鼠、沙鼠、灰鼠和家兔禁用。\n2. 其他草食动物慎用。\n3.对青霉素过敏者禁止接触本品。","adverse_reaction":"1.恶心、腹泻和皮肤丘疹是最常见的不良反应。\n2.本品为青霉素类药物,若出现过敏反应可使用肾上腺素治疗。","attention":"1.不要对病情严重的动物使用口服抗生素,因其胃肠道吸收可能不可靠,这些患病动物可能需要静脉注射剂。\n2.避免在对其他β-内酰胺类抗菌药(包含头孢菌素类)有过敏反应的动物使用。\n3.片剂由防潮箔包裹,给药前不要取出。\n4.对青霉素过敏者如果不慎接触,应该立刻去找医生救助。\n5.孕畜慎用。\n4.使用后请洗手。\n5.不要让小孩接触到此产品。","interaction":"1.避免同时使用抑菌性抗生素(如四环素、红霉素)。\n2.不要给鸟类同时使用别嘌呤醇、β-内酰胺和氨基糖苷类抗菌剂在体内有协同作用。\n3.本品和氨苄西林有完全交叉耐药性,与青霉素类和头孢菌素类有交叉耐药性。","approval_no":"(2018)外兽药证字11号","storage_method":"密封,在凉暗干燥处保存。","validity":"2年","manufacturer":"意大利豪普特制药厂(Haupt Pharma Latina S.R.L)","status":1,"created_at":"2020-10-23 12:09:57","updated_at":"2020-10-23 16:00:00"}},"product_sku_info":{"id":752,"product_id":709,"title":"辉瑞速诺(阿莫西林克拉维酸钾片)250mg×10片\/板","advword":null,"price":98,"market_price":119,"cost_price":0,"stock":730,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"250mg规格1板"}},"cover":null,"thumb":"","sale_count":711,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:43:15","updated_at":"2024-11-21 14:19:59"}}},"drug_data_bak":{"0":{"id":116407,"prescription_id":153455,"doctor_user_id":1972513,"product_id":812,"product_sku_id":854,"dose":1,"dose_unit":"抹","use_method":"涂抹","frequency":"每天3次","days":14,"number":1,"remark":"","created_at":"2023-09-22 22:21:39","updated_at":"2023-09-22 22:21:39","product_info":{"id":812,"hash_id":"VjX39W4zDPxQ0bvZ","class_ids":{"0":1,"1":2},"category_ids":{"8":169},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":4,"sell_point":"百灵金方抑菌膏10g","title":"贝里奥百灵金方抑菌膏 10g\/瓶\/盒","recommend_reason":{"0":"用于手术、术后切口、咬伤、烫伤、交通伤等创面感染","1":"用于细菌、真菌引起的皮肤及粘膜感染","2":"用于子宫及产道、外生殖器及肛门腺的感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"皮肤病,脓皮症,细菌感染","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"10g"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/8fd35c62b90e9eb884e32c271cdcc0c1.jpeg","images":{"0":"https:\/\/cdn.moguvet.com\/shop\/2023\/06\/b4a90fdc25766615b045299982a0dbf6.jpg","1":"https:\/\/cdn.moguvet.com\/shop\/2023\/06\/cb0fcbe97a1a93d979f82fbf7e02ddd2.jpg"},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":88,"max_price":88,"sale_count":281,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-21 16:36:03","updated_at":"2024-11-10 18:08:41","ins":{"id":4,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"百灵金方抑菌膏","trade_name":"百灵金方膏","en_name":"","brand_name":"贝里奥","is_prescription":0,"cover":"\/drug\/2020\/10\/a76d880a7848393054bd1d4991a3b027.JPG","specification":"10g\/瓶","reference_price":130,"component":"麝香、珍珠、冰片、细胞集落因子等。","indication":"1.手术中、术后切口、咬伤、烫伤、交通伤等创面感染、已经产生耐药菌的创面治疗。\n2.细菌、真菌引起的皮肤及粘膜感染、已经形成溃烂、溃疡等皮下组织感染。\n3.子宫及产道感染。\n4.外生殖器及肛门腺的感染。","usage_dosage":"1.外用,将膏体涂于创面,用量视感染面积大小而取,每日更换一次。\n2.溃烂疮面有流脓、渗血、渗水情况的,配合百灵金方粉撒在疮面薄薄一层,疮面周围涂百灵金方软膏,纱布包扎即可。","contraindication":"","adverse_reaction":"","attention":"1.外用,严禁内服。\n2.内含麝香,孕畜慎用。","interaction":"","approval_no":"","storage_method":"密封,在凉暗干燥处保存。","validity":"2年","manufacturer":"河南威灵仙宠生物科技有限公司","status":1,"created_at":"2020-10-21 14:13:33","updated_at":"2020-10-29 16:06:30"}},"product_sku_info":{"id":854,"product_id":812,"title":"贝里奥百灵金方抑菌膏 10g\/瓶\/盒","advword":null,"price":88,"market_price":140,"cost_price":0,"stock":763,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"10g"}},"cover":null,"thumb":"","sale_count":290,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-21 16:36:03","updated_at":"2024-11-10 09:35:28"}},"1":{"id":116408,"prescription_id":153455,"doctor_user_id":1972513,"product_id":709,"product_sku_id":752,"dose":25,"dose_unit":"mg","use_method":"口服","frequency":"每天2次","days":14,"number":1,"remark":"","created_at":"2023-09-22 22:21:39","updated_at":"2023-09-22 22:21:39","product_info":{"id":709,"hash_id":"lazo6rxWXWpOqD9E","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":5,"sell_point":"速诺(阿莫西林克拉维酸钾片)250mg","title":"辉瑞速诺(阿莫西林克拉维酸钾片)250mg×10片\/板","recommend_reason":{"0":"适用于宠物由敏感细菌引起的皮肤及软组织感染、呼吸道感染","1":"治疗宠物革兰氏阴性和革兰氏阳性敏感细菌的感染","2":"用于肠炎及其他感染,如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"呼吸道感染,肠炎,腹泻,便血,真菌感染,猫癣,脓皮症","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"250mg规格1板"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/0c5606ffe97cfdbe080e7c31980a047d.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":98,"max_price":98,"sale_count":673,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:43:15","updated_at":"2024-11-21 14:28:26","ins":{"id":5,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"阿莫西林克拉维酸钾片","trade_name":"速诺","en_name":"Synulox Palatable Tablets","brand_name":"辉瑞","is_prescription":1,"cover":"\/drug\/2020\/10\/b4e16954b19120b0d777543dde23b1da.JPG","specification":"250mg×10片×10板\/盒","reference_price":2200,"component":"阿莫西林和克拉维酸钾","indication":"适用于犬由敏感细菌引起的各种感染,及治疗犬革兰氏阴性和革兰氏阳性敏感细菌的感染。\n1、如皮肤及软组织感染脓性皮炎、脓肿和肛腺炎、蜂窝组织炎、伤口感染、腹内脓毒症等。\n2、牙感染(牙龈炎)。\n3、尿道感染,如膀胱炎、尿道炎、肾盂肾炎、前列腺炎、盆腔炎、淋病奈瑟菌尿路感染及软性下疳等。\n4、呼吸道感染,如鼻窦炎、扁桃体炎、咽炎、急慢性支气管炎、慢性支气管炎急性发作、肺炎、肺脓肿和支气管合并感染。\n5、肠炎及其他感染,如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染等。","usage_dosage":"口服。每天吃2次,连用5-7天。每次用量如下:\n体重9-12kg,吃0.5片;\n体重13-15kg,吃0.75片;\n体重16-22kg,吃1片;\n体重23-30kg,吃1.5片;\n体重31-40kg,吃2片;\n体重41kg及以上请购买同品500mg规格的产品。\n\n注:一些慢性感染(慢性皮炎、慢性膀胱炎和慢性呼吸道感染)的治疗可连用10-28天。","contraindication":"1. 仓鼠、豚鼠、沙鼠、灰鼠和家兔禁用。\n2. 其他草食动物慎用。\n3.对青霉素过敏者禁止接触本品。","adverse_reaction":"1.恶心、腹泻和皮肤丘疹是最常见的不良反应。\n2.本品为青霉素类药物,若出现过敏反应可使用肾上腺素治疗。","attention":"1.不要对病情严重的动物使用口服抗生素,因其胃肠道吸收可能不可靠,这些患病动物可能需要静脉注射剂。\n2.避免在对其他β-内酰胺类抗菌药(包含头孢菌素类)有过敏反应的动物使用。\n3.片剂由防潮箔包裹,给药前不要取出。\n4.对青霉素过敏者如果不慎接触,应该立刻去找医生救助。\n5.孕畜慎用。\n4.使用后请洗手。\n5.不要让小孩接触到此产品。","interaction":"1.避免同时使用抑菌性抗生素(如四环素、红霉素)。\n2.不要给鸟类同时使用别嘌呤醇、β-内酰胺和氨基糖苷类抗菌剂在体内有协同作用。\n3.本品和氨苄西林有完全交叉耐药性,与青霉素类和头孢菌素类有交叉耐药性。","approval_no":"(2018)外兽药证字11号","storage_method":"密封,在凉暗干燥处保存。","validity":"2年","manufacturer":"意大利豪普特制药厂(Haupt Pharma Latina S.R.L)","status":1,"created_at":"2020-10-23 12:09:57","updated_at":"2020-10-23 16:00:00"}},"product_sku_info":{"id":752,"product_id":709,"title":"辉瑞速诺(阿莫西林克拉维酸钾片)250mg×10片\/板","advword":null,"price":98,"market_price":119,"cost_price":0,"stock":730,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"250mg规格1板"}},"cover":null,"thumb":"","sale_count":711,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:43:15","updated_at":"2024-11-21 14:19:59"}}}}}}
微信扫一扫
立即问宠医