咨询描述：我家猫六月份接回家的时候已经六个月了 当时打喷嚏带他去了医院拍片（如图一图二图三）医生当时给他开了**环素和***韦
一到降温就鼻子被鼻涕堵住 咳嗽 感觉痰很多给他用滴鼻液滴鼻子 打出来的鼻涕是黄绿色浓鼻涕 食欲正常
昨天带他去做了pcr 全部阴性 （如图四）
他这是什么原因引起的呢？该怎么治疗以及平时注意什么？目前在给他吃高免**和***提高免疫力，家里现有的药（如图五）
问题大致一样，细节不同？
于博
执业兽医师
好的，猫咪这种情况是因为之前后铣刀感染，病原体侵害鼻腔粘膜和鼻甲骨以及支气管严重病变，留下的后遗症，也就是慢性鼻炎和慢性支气管炎的情况。没有办法根除，每到天气变化，温度明显，刺激味道大时，运动剧烈后会症状明显。，片子上看之前官是由增厚的圆圈样病变，慢性支气管炎的特征。
这种出现症状检查呼吸道也是阴性的，因为并不是病原体引起的，而是后遗症。
平时注意温度恒定，不找着凉，不要剧烈运动，控制好体重。每天用眼药水滴滴鼻腔，平时可以建个几天做做雾化。
如果症状严重时期可以每天雾化和口服**环素抑制一下。没有生命危险。
1 后遗症是什么意思 以前感染过吗 2怎么保暖 他老是睡地上 铺地毯不好清理 我可以给他穿衣服吗 3 还有我当时自己给他做雾化 买的雾化箱关进去做的 出来就是用毛巾擦擦 导致他毛发潮湿长了猫藓 现在在用*******萘芬喷雾剂 别的地方长出毛了 就背部为什么皮肤黑黑的 还传染给我家另一只猫了 脚秃了 已经快两周了 上周六还去药浴了 现在用伍德氏灯照还是有荧光绿 我该怎么治疗啊
于博
执业兽医师
好的，1之前是有感染过呼吸道疾病比如志气内有打喷嚏，流鼻涕，咳喘，眼睛肿等，都属于呼吸道疾病感染
2.保暖主要是家中的整体温度，比如家里温度23度，那睡在地上也没有关系。而且如果很凉，猫咪自己也会找暖和的地方休息，所以主要是家里不要很冷。如果家中很冷，最好做一些取暖设施
3.雾化的时候如果是密封较好的空间，不用开的很大雾化，身体之前患病部位如果没有皮屑结痂，只是不长毛和色素沉积的情况，那就是已经好了，不需要再用药物了，长毛慢一点，一般2-6个月能恢复。如果面积不大不需要药浴，局部涂药就可以。
因为患病后部位会有真菌残留，所以照射是荧光绿色反应，只要没有皮屑结痂就不需要用药。
饲喂的高免**能增强抗病力减缓发病
1我分辨不出他是金吉拉还是长毛银渐层 医生你知道他是什么品种吗？（如图一）控制体重的话维持到多少斤 目前11.5个月9斤
2图二是猫咪的猫藓 图三是我家另一只猫脚上的猫藓 好像是有一点白色皮屑的 我该怎么处理皮屑 用手抠不太好抠掉
3雾化继续用我图四的药吗 我之前用的是这四种 每种都用一毫升然后加生理盐水稀释
4***对他这个年纪还有用吗 有点贵我还有必要继续吃吗 还有高免** 医生可以给我一个详细的服药用量和营养补剂用量吗 拜托拜托第一次养猫🥺
为保护用户隐私不显示图片/视频
于博
执业兽医师
好的。
1.现在猫咪杂交的太多，只能是看着更像哪个品种，应该金吉拉的基因更强大一些。渐层的脸是圆的。目前绝育后公猫体重还是可以的，最好不要超过10斤，可以饲喂绝育处方粮或者饲喂平时饭量的百分之80
2.这种中间的部位已经好了，就看旁边有没有皮屑结痂。如果有需要周边剃毛到健康皮肤防止扩散，每次用药前先用碘伏清理干净，润湿患部结痂皮屑就好清理了。佩戴头圈防止舔咬
3.雾化药物是可以的，继续使用就好
4.添次力应该鼠疫**多糖之类的，再患病期间可以使用辅助作用，平时没有必要。****平时可以每天饲喂也可以每个月饲喂1-2周。如果体质较强也不用必须饲喂。所有的营养保健产品都是针对宠物某方面不足去补充的，正常不需要，日粮饮食就够了。皮肤可以养护一下，稍后给您开个处方，促进长毛
1那我猫藓的药还是用*******萘芬喷雾剂吗？还是要买个兽用的2这个确定就是支气管炎了吧 那个宠物医院还想让我带我去做检查 您觉得有必要吗？
于博
执业兽医师
好的。
1.真菌药物平台和医生是不建议使用人用药物的，虽然成分一样，但是毕竟是人用药物。这两个药物成分选择一个涂抹就可以的，都是同样的作用，没有必要都使用。
2.确定是后遗症，应该不需要再进一步检查了
1医生可以推荐一个治疗猫藓的药吗和用量周期2宠物医院让我带去打消炎针 您觉得有必要吗？3对于治疗后遗症只需要服用**环素吗？还要吃别的口服药吗？还有**环素用量和周期是多少？
于博
执业兽医师
1.***软膏 一天一次 涂抹患处 一般1-2周
2.如果只是打喷嚏，偶尔咳没有必要打针，如果每天咳喘很频繁严重可以先打几天针快速缓解
3.**环素，**霉素，**菌素都可以。
**环素 每天两次 一次半片（每公斤体重5毫克）。最多连续使用4周
1** ***韦都不用吃了吗 2***我之前喂过 他会吐吃来 吐的毛都黄了 有没有代替的
于博
执业兽医师
**没有**效果好。
***韦***不用饲喂了
***如果是一边吃一边吐，那是正常的反应。如果是喂完过一会再吐是药物过敏。所以要区分一下。如果是第一种那还是饲喂时的速度和位置不对，可以先用水练习饲喂
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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