咨询描述:医生您好,猫咪四岁多,上周有追赶野猫的情况,后来一切正常。昨天早上开始精神萎靡,食欲不振,去到医院后发现发烧,炎症指数很高。在医院打了退烧、消炎针,做了七项筛查,发现有猫瘟、杯状携带。因为没有出现其他症状,医院怀疑是猫瘟携带,配了抗生素及提高免疫力的***口服液。回家后猫咪退烧,开始吃饭了,今天早上精神状态如常,今天也吃饭了,但到傍晚感觉精神不是很好,胃口也不好。请问医生我应该怎么干预治疗?需要再观察看看还是怎么治疗呢?谢谢!(最后的疫苗是猫咪在国外21年3、4月各打了一针
问题大致一样,细节不同?
谭亚茹
执业兽医师
您好,根据您讲到的和流浪猫咪相处过,我认为除了做这些感染筛查外您还要仔细检查身上是否有抓挠伤口导致感染。
另外根据核算检测中猫瘟、支原体、杯状病毒的CT值来看已经是正在感染了,并不只是携带。只是对于成年猫来说并不一定就会出现腹泻、呕吐的明显症状。可能会后面点才出现,也可能自身免疫够强大直至痊愈都没出现腹泻、呕吐。
干预治疗主要就是:
1.***(没吐的话口服***口服液,注射干扰素会更好一些,只是需要打小针);
2.防止继发感染(使用抗生素);
3.提高免疫力(因为猫瘟、杯状都没有特效药,我们能做的治疗都是辅助它的身体去打胜战,提高免疫力可以口服****等)
接下来的治疗我建议:如果猫咪没有呕吐,能进食的话做一个血常规,如果白细胞还在正常值可以按目前的治疗方案居家治疗;但是一旦出现呕吐、不进食、白细胞显著下降那么就要考虑打小针甚至输液治疗。
(若您需要暂时离开本诊室,稍后可以到官方微信公众号“蘑菇宠医”内找到问诊订单继续和我沟通。)
医生您好!身上没有抓伤。刚刚我测了一下温度是39.7,又发热了,然后猫咪因为前面给他灌药和水比较抗拒呕吐了,刚去急诊打了退烧针。请问接下去是需要打干扰素吗?打哪种干扰素最好呢?是否需要进口的干扰素,谢谢!
谭亚茹
执业兽医师
您好,用于猫瘟的干扰素是*******,正规的宠物诊疗中心都有的,价格在60元左右一针。现在的病情不是单独打干扰素那么简单,干扰素具有广谱的***特性,它不是直接作用于病毒发挥作用,而是通过与细胞上的受体结合,使细胞产生一些***蛋白。
猫咪现在喂药会吐就只能通过其它渠道给药:皮下注射、静脉注射、鼻饲管等,这几种方式都只能在医院进行,明天要是状态不好还是建议在线下医院就诊最为稳妥。
医生您好,今天早上猫咪吃了饭,大小便一次正常,状态尚可。请问我现在就是需要带他去打干扰素和单抗吗?然后配合抗生素吃。您有什么后续的建议吗?
谭亚茹
执业兽医师
您好,如果猫咪没有呕吐、无力、发热、不吃东西、腹泻等异常症状,吃药也能吃进去的话可以先居家观察,当然即使没有这些症状打5-7天的干扰素配合提高免疫力会更保险。
后续尽量避免应激的出现,不能洗澡,一旦出现异常症状及时到线下正规医院就诊。
如果平稳渡过14天都没有异常,再居家观察7天也没异常就及时接种疫苗-***,并在接种后14天检测抗体,如抗体不够根据检测结果补种相应的针数。
猫咪现在没有剧烈发病,我们所做的小针、口服药都是尽量减少它发病的机率,就像前段时间人类新冠的无症状感染者。但是不可能百分之百阻止,一旦发病就要配合医院积极治疗
好的,谢谢医生,目前猫咪精神尚可(没有以前那么活泼)、吃饭每天也能吃,但食欲下降,早上大小便正常。请问目前我是只打干扰素还是需要打干扰素加单抗呢?另外小针就是指干扰素嘛?谢谢
谭亚茹
执业兽医师
不用谢,有条件的话干扰素➕单抗会更好。小针就是指干扰素、单抗,如出现其它临床症状又做调整。我把您在家自己能饲喂,猫咪又需要的营养补剂开具一个免费处方给您,您可以对照后根据自己需要选择购买。其余的用药就要根据猫咪的病情在线下医院调整了
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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