狗狗腿上有红肿身上三处癣怎么处理

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患宠信息:中华田园犬/弟弟/7个月

咨询描述:症状描述:小狗8个月,10.8发现腿上有红肿,遂带去宠物医院,发现下巴,腿上,脚底分别有三片癣,切片结果是小孢子菌感染,十天前洗澡的时候发现胸口有一大片掉毛,医生判断说还是真菌感染,现腿上脚底伤口在恢复,下巴也在恢复,但恢复的慢,下巴和胸口患处周围扩散大片红肿,伴有皮屑 患病时长:10.8发现—11.7 医院检查:检查为小孢子菌感染 用药情况:刚开始用医院开的***喷剂配合口服******* 后口服肤可欣液体**康挫4ml一次 每日两次 检查肝功正常停药七天后从10.30开始重新口服***片状**康挫 每日一次 一次3/4片 11.3起外涂药换成金盾***喷剂和***软膏 一日两次

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刘子昊

执业兽医师

你好,看你的描述基本信息我已经了解。持续一月时间的皮肤真菌性感染,伴随皮屑掉落,并且出现大面积脱毛和皮肤红肿,但是在用抗真菌药和抗生素以及皮肤外用药的同时之前病灶有所好转迹象不过出现了扩散。目前需要注意的问题一个是抗真菌的口服****在监测肝肾功的同时需要按照服用一周停药一周并且严格按体重换算服用药物剂量(这个需要依据正在口服的****的规格),皮损部分需要外用一些不刺激的体外抑菌喷雾,不能再皮损部分外用抗真菌喷剂了。而且需要注意每天需要保证皮损部分的皮屑清洁干净,可以用纱布搓洗。在一个因为小孢子菌感染非常的瘙痒,需要止痒和防止自损,抓挠可以给穿小鞋子,啃咬可以给带脖圈,一直到完全康复,皮肤外用可以用一些修复滴剂,例如***或者***。再给一些鱼油和******可以促进皮肤修复。如果定时洗澡也可以去洗抗真菌的药浴。也会对皮肤恢复有帮助。

刘子昊

执业兽医师

你现在顾虑的问题是治疗不见康复反而加重了,这个问题主要是宝贝年纪小,免疫力相对低下,真菌类疾病完全康复普遍需要1-2个月的时间。扩散最主要的因素是没有特别防止抓挠和舔舐啃咬。

小狗伤口周围一直红红的 而且在扩大 伤口那块有几个小坑 皮下有淤青

为保护用户隐私不显示图片/视频

刘子昊

执业兽医师

这个图片看着比较典型是舔舐过度。需要保持皮肤清洁才行,不然这里会因为潮湿更加容易出现真菌性问题以及皮肤粘膜溃烂。一定要给宝贝带好一个合适的脖圈防止舔舐。这种红肿位置切记不要再使用抗真菌的外用药物了。

刘子昊

执业兽医师

如果你对已有的药物有什么需要解释使用方法或者剂量规格的也可以拍给我看一下,他这个确保不啃咬舔舐伤口的情况下,正常用药一个月左右是可以完全康复的。

脖圈一直戴着 不存在舔低的情况 他基本每天都在睡觉 伤口那压住我会给他换个姿势睡觉 让伤口尽量通风

红肿的这些地方我看有少量皮屑 **康挫要换成液体肤可欣吗 固体药片不行吗 固体药片一片含量上36mg 一天吃多少量合适

刘子昊

执业兽医师

他是否会因为瘙痒焦虑不安去蹭自己的皮肤,在一个就是你给他用外用药是否存在涂抹过厚的情况。这样的皮损较为常见就是长时间潮湿引起。如果可以最好带他去宠物医院把创伤周围的毛发剃除,一方面是方便用药和清洁,在一个可以及时观察病变情况。

刘子昊

执业兽医师

***这个相对于小龄宠物安全性会高一些。如果有片剂的话也可以,但是要根据那个药的使用说明去吃,按体重来算。

那现在的话就是外用药全部停掉 每天给患处消毒 保持干燥 每天吃**康挫内服 吃鱼油和**** 等他的皮损慢慢恢复吗 维B的话人吃的复方****可以吗 还有一个问题是现在他**康挫已经吃够7天了 是停药还是接着吃 如果不接着吃的话他的药基本全停了

刘子昊

执业兽医师

皮损每日消毒,用宠物用的皮肤粘膜消毒液,避免刺激性的消毒水。口服****和鱼油每天都吃。如果皮损红肿严重可能需要再加一两抗生素就像之前吃过的***就是。****目前已经吃够一周就停一周在继续用药。一定多观察带的这个脖圈他是不是还有办法舔舐啃咬。如果是就尽早更换或者延长脖圈。他如果有自己的布窝也要隔几天换洗一下。再就是注意一下小孢子菌对人的皮肤也会造成影响,要注意勤洗手和避免宝贝上床。

刘子昊

执业兽医师

一定观察是否瘙痒的厉害,因为真菌性皮肤病的一大特点就是瘙痒难耐,如果真的瘙痒的厉害,他不停的蹭可以适当给一些止痒的药物会对皮损的愈合有很大帮助。比如***

皮肤消完毒之后需要用吹风机吹干吗 每天消毒几次 现在如果外用药停了 **康挫也停了的话 真菌会不会进一步扩散 他的皮损恢复好了之后还能用外用抗真菌药吗 用的话哪种刺激性比较小一点 现在用的***是不是后续就不能用了 红肿的那块不剃毛剪短可以吗

刘子昊

执业兽医师

皮肤消毒以后用纱布把上面的皮屑清理干净,重复上消毒药物一次,不要用吹风机吹干。在一个出去洗澡的时候自己带一个毛巾防止交叉感染。外用的抗真菌药在有皮损的时候是不建议使用的。口服的****使用建议就是用一周停一周这样。只要按照这个流程一般不会因为药物浓度不足的因素引起扩散。相反这样用药的目的最主要是最大程度的减轻肝肾负担。皮外如果一定要用推荐的就是****,但是也要等皮损得到缓解以后,确认是真菌感染的位置,这个可以在暗视野下面用伍德氏灯去确认,绿色荧光代表小孢子菌感染。红肿的地方毛发尽可能剪短,方便用药和防止因为毛发扩散。

刘子昊

执业兽医师

非常感谢您对蘑菇宠医的信任。如果我的回答能够帮到您,请您在咨询结束后留下5星评价,您的评价是我工作最大的支持,感谢。后续宠物有其他问题,您可以到“蘑菇宠医”官方微信公众号继续向我提问。

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药品图片

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