咨询描述:患病时长:一个多月了
医院检查:球菌
用药情况:马波**吃了4天,****喷了两周,**金方也用了
问题大致一样,细节不同?
王鑫
执业兽医师
根据你讲到的情况 他这个是链球菌感染导致的 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:
1. 他会舔或者抓挠吗?
2. 身上一共有几处这样的表现
3. 第三张和第四张图片是现在的吗?第二张图片什么时候的
4. 它有没有用过药浴
以上情况你回忆后详细的描述给我,感谢你的配合。
1.抹完药刚开始不会舔,后期就开始舔,不知道是不是痒,不会抓。2.身上就一处,在右腿关节处,抹完药一直带它出去玩不敢让它趴着,一趴药都蹭没了,不躺垫子。3.第二张照片是刚开始,后去医院做的检查说是球菌,3.4张是现在,还有黑色结痂,肉也是红色的,感觉有炎症,还有裂开的肉,用药也不好。5没有用过药浴,患处就在关节,只要一趴就会磨着,已经一个多月了不见好
王鑫
执业兽医师
你好,感谢你的回复,然后现在需要跟您确定一下他是前腿的肘关节吗? 您看一下另一条腿的肘关节没有这种情况吗?正常情况是两个前腿的肘关节处,他都会有这种表现的。这个是所有中大型犬都会有的,一般都是趴卧地下摩擦导致的。 如果要是单纯的球菌感染,现在一般早都好了 如果您看一下两个前腿都有这种情况,那就其实不需要给他涂抹药物了,因为他这个是属于正常的。然后第二个图片是比较严重的情况像三四图片就是有点红 正常来说是没有关系的。
对,就是前腿关节,只有一条腿有。可是患处那条腿还是有黑色的结痂物,不用管吗?而且也泛红,肉裂开。我还需要继续用药吗?一直不见好,真的是很抓人
王鑫
执业兽医师
像他这种情况,您不需要再给他吃口服的抗生素了,因为第2个图片是有问题的,像三四图片看着没什么问题,如果他要是真的出现皮肤病变,他肯定会频繁的去舔,或者是蹭这个部位的,因为有瘙痒他没有这些情况其实是没什么事儿的。 然后那个**金方是软膏吗?他现在不需要用皮肤喷剂了,最好是给他用涂抹软膏,一天两次来进行保湿抗菌就可以了,没什么其他更好的一个方法,因为就算是正常的,他也会出现开裂或者是皮肤增厚结痂这种表现这种就是因为总趴地下摩擦造成的。 所以咱们也不需要太焦虑,不需要太担心。
大夫,它在舔,它一直舔患处,我估计是把药舔没了它就不舔了。用的药是图片这两款。可是一直不恢复呀?我看别人最多一个多月皮肤好了毛都开始长了,我这个没有剃毛,因为在关节怕没有保护。可以涂***软膏或者碘伏消毒吗
为保护用户隐私不显示图片/视频
王鑫
执业兽医师
那如果舔的话也是不行的,还是证明有瘙痒的,您还是需要给他带好项圈,然后吃点止痒抗过敏的药物 配合这个**金方的软膏 喷剂的话就没必要使用了 然后抗生素的话在吃5到7天 但是这个期间项圈需要给他带好。再用药7天左右看看情况怎么样,然后他不是趴着的时候就能蹭掉吗?您可以给他涂抹完软膏以后,给他用自粘绷带和纱布包裹缠绕一下,这样就能避免它蹭掉药物了,一天更换一次就行。 然后您看一下我下面给您推荐的处方,点击查看详情就有用法用量的介绍,明天的话您添加图片这个客服看看那个止痒药能不能拆分着卖。要不然太多了 它也用不了那么多
为保护用户隐私不显示图片/视频
大夫,我刚拍的。现在就是这种黑结痂还有,还有的屁股已经变黑了,这种情况需要怎么办?还可以刮片治疗吗
为保护用户隐私不显示图片/视频
王鑫
执业兽医师
你好,他这个现在就不需要刮片了,因为已经确诊是有球菌感染了,况且从图片当中看,他这个跟最开始之前比,已经好的特别多了,现在只有这一小块出现红的一个情况,应该是他舔的所以说只要不让他继续舔,然后再吃5~7天的口服药,配合这个软膏就可以了,然后给他包扎一下。至于屁股变黑应该是皮肤变黑这种情况就是色素沉着导致的,不需要管的,平时给他喂点***,然后多晒阳光,随着时间慢慢它是会下去的。
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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15:08:22","updated_at":"2023-06-15 15:08:22"}},"product_sku_info":{"id":1123,"product_id":1069,"title":"辉瑞爱波克马来酸奥拉替尼片5.4mg×100片\/瓶","advword":null,"price":1498,"market_price":1799,"cost_price":932.4,"stock":97,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"5.4mg×100片\/瓶"}},"cover":null,"thumb":"","sale_count":3,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2023-06-15 15:09:48","updated_at":"2023-12-09 11:34:04"}}}}}}
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