陈奕达
执业兽医师
根据你讲到的信息,我暂时还不能做出进一步的判断。我还有几个问题需要向你了解一下:
1. 猫咪在其它角度拍摄图片,左侧眼睛是否有反光的情况?
2. 猫咪左侧眼睛是否透亮?是否有浑浊症状?
3. 用手靠近猫咪左侧眼睛,猫咪是否有眨眼反射?
4. 猫咪是否还有其它症状?
以上这些情况需要你详细的描述给我,我好进一步了解宝贝情况,帮你进行分析。
陈奕达
执业兽医师
还需要麻烦您再拍摄一些两个眼睛稍微近一些。然后打上灯光的图片发送过来了解一下。
1.反光情况角度不一样不反光,我重新发送的最后两张是不同角度没开闪光灯2.肉眼看浑浊现象暂时没有,但是瞳孔颜色不一样,参考最后一张。3.有眨眼反应。4.暂时没有其他症状,我是前天晚上发现的。
为保护用户隐私不显示图片/视频
陈奕达
执业兽医师
好的,非常感谢你的回复,谢谢。根据你描述的症状以及提供的信息,以我多年的经验判断宝贝是很有可能是有视网膜方面问题,从而导致了一系列症状。
小视频来看,猫咪眼睛感光没有问题,并且有眨眼反射,那么说明猫咪视力暂时没有问题。如果暂时不方便就诊,可以正常饲养观察一下。
如果实在不放心,可以给予猫咪进行眼底检查,以及眼压检查,进一步判断一下猫咪是否异常问题。
1.谢谢医生,稍远一点的距离正常对视就有眼球颜色不同带有反光。其他角度没什么区别。
2.图片这样需要用什么药物治疗吗有点担心,会自愈吗
3.视网膜方面我该如何治疗?
4.是去医院做检查吗?
5.刚有咨询其他医师说是葡萄膜炎让我去宠物医院,但我这边宠物医院距离有20公里,不是很方便。
5.考虑到猫咪现在活动正常我想保守治疗就是用药物的方法
为保护用户隐私不显示图片/视频
陈奕达
执业兽医师
你好,
1.猫咪现在的情况,暂时不用药物治疗,正常饲养观察即可。
2.视网膜问题,需要进一步诊断具体情况,才能判断能否治疗,如何治疗。因为有的疾病问题,是无法治疗的。
3.进一步诊断,是需要去附近靠谱宠物医院就诊的。
4.葡萄膜炎,以现在猫咪的症状来看,不太像。
5.如果想用药,可以尝试给予猫咪口服一些宠物专用广谱消炎用药,配合宠物专用广谱消炎杀菌滴眼液,来进行治疗,观察一下效果如何。
6.稍后会根据猫咪的情况,开具一套上述用药,供你采纳参考一下。
猫咪以前是否有什么用药过敏史?
1.还是先用药吧实在担心,刚问到朋友跟我猫咪状况差不多,他用的是***。
2.如果是疾病问题的话,后期是什么样的症状?
3.按医师的意思是说先观察一段时间看后期会不会自然康复吗。
4.从没用过药物
5.可以开具一套用药。
谢谢医师,真心感谢。
陈奕达
执业兽医师
你好,1.如果有疾病问题,可能会出现眼睛疼痛,流眼泪,眼屎增多,精神萎靡,食欲下降,眼睛浑浊,眼睛增大等症状。
2.如果不方便就诊,可以先观察一下。
3.然后这边根据猫咪的情况,我给宝贝开个处方。供你采纳一下,以备不时之需。
药物具体用法用量已经帮你计算妥当,可以点击查看详情按钮,进入处方页面查看。
处方里面的
1. **,宠物专用广谱消炎,控制炎症感染问题。
2.硫酸***滴眼液,宠物专用广谱消炎杀菌滴眼液,能够起到局部广谱消炎,杀菌的效果。
可以根据需求自行选择购买。
宝贝眼睛发病期间,可能会瘙痒,疼痛,不舒服。所以会有抓挠刮蹭眼睛的情况,很大概率会出现二次损伤,或者加重眼部症状。如果出现抓挠刮蹭,一定要佩戴伊丽莎白圈,防止抓挠刮蹭眼睛。
我能用这款吗?我有个朋友的猫症状和猫咪一样
为保护用户隐私不显示图片/视频
陈奕达
执业兽医师
你好,可以尝试使用,观察效果如何。可以按照每天2-3次,每次1-2滴即可。不过人类用药医生本人以及平台不建议使用,因为人用药是针对人类设计的,并不一定适合给予宠物(动物)使用,可能会有未知性副作用,用药效果以及风险需要自行承担,还请慎重考虑后采纳使用。
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
{"599781":{"id":599781,"case_id":66582,"user_id":1249218,"to_user_id":2449443,"type":3,"content":"你好,1.如果有疾病问题,可能会出现眼睛疼痛,流眼泪,眼屎增多,精神萎靡,食欲下降,眼睛浑浊,眼睛增大等症状。\n2.如果不方便就诊,可以先观察一下。\n3.然后这边根据猫咪的情况,我给宝贝开个处方。供你采纳一下,以备不时之需。\n\n药物具体用法用量已经帮你计算妥当,可以点击查看详情按钮,进入处方页面查看。\n\n处方里面的\n1. **,宠物专用广谱消炎,控制炎症感染问题。\n2.硫酸***滴眼液,宠物专用广谱消炎杀菌滴眼液,能够起到局部广谱消炎,杀菌的效果。\n\n\n可以根据需求自行选择购买。\n\n\n宝贝眼睛发病期间,可能会瘙痒,疼痛,不舒服。所以会有抓挠刮蹭眼睛的情况,很大概率会出现二次损伤,或者加重眼部症状。如果出现抓挠刮蹭,一定要佩戴伊丽莎白圈,防止抓挠刮蹭眼睛。","media":{"images":{},"videos":{},"business_params":{"prescription_id":159499}},"is_doctor":1,"status":1,"created_at":"2023-11-21 21:08:47","show_rx":true,"rx_info":{"id":159499,"rx_no":2.02311212108445e+24,"user_id":2449443,"doctor_user_id":1249218,"is_independent":0,"case_id":3197127,"pet_info":{"pet_id":418850,"pet_name":"美国短毛猫","pet_nickname":"咪咪","pet_gender":1,"pet_birth":"0-4","pet_weight":2,"pet_vaccination_status":0,"pet_in_insect_repellent_status":0,"pet_out_insect_repellent_status":1,"pet_age_format":"4个月"},"diagnose":"拟眼睛发炎方面问题","signature":"\/signature\/2021\/12\/c9bc3ee36e7e61a8a6b1d241ce0cd612.png","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2023-11-21 21:08:44","updated_at":"2023-11-21 21:08:47","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":130036,"prescription_id":159499,"doctor_user_id":1249218,"product_id":712,"product_sku_id":755,"dose":20,"dose_unit":"mg","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2023-11-21 21:08:44","updated_at":"2023-11-21 21:08:44","product_info":{"id":712,"hash_id":"VjX39W4z2B4Q0bvZ","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":3,"sell_point":"速诺(阿莫西林克拉维酸钾片)50mg","title":"辉瑞速诺(阿莫西林克拉维酸钾片) 50mg×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":"50mg规格1板"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/26f5438f35ed21efc2894dffea9f399f.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":48,"max_price":48,"sale_count":1718,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:50:13","updated_at":"2024-11-21 13:36:29","ins":{"id":3,"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\/46c3ccae52804b92b0e341800e809e95.JPG","specification":"50mg×10片×10板\/盒","reference_price":800,"component":"阿莫西林和克拉维酸钾","indication":"适用于犬猫由敏感细菌引起的各种感染,及治疗犬猫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1-2kg,吃半粒; \n体重3-5kg,吃1粒; \n体重6-9kg,吃2粒;\n体重10-13kg,吃3粒;\n体重14-18kg,吃4粒;\n体重≥19kg,请购买同品250mg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10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":"2020-10-21 13:48:10","updated_at":"2020-10-23 15:55:39"}},"product_sku_info":{"id":755,"product_id":712,"title":"辉瑞速诺(阿莫西林克拉维酸钾片) 50mg×10片\/板","advword":null,"price":48,"market_price":59,"cost_price":0,"stock":9249,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50mg规格1板"}},"cover":null,"thumb":"","sale_count":1808,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:50:13","updated_at":"2024-11-21 22:49:09"}},"1":{"id":130037,"prescription_id":159499,"doctor_user_id":1249218,"product_id":790,"product_sku_id":832,"dose":0.2,"dose_unit":"ml","use_method":"滴眼","frequency":"每天3次","days":7,"number":1,"remark":"","created_at":"2023-11-21 21:08:44","updated_at":"2023-11-21 21:08:44","product_info":{"id":790,"hash_id":"GVbA91xB5egrWoaz","class_ids":{"0":1,"1":2},"category_ids":{"20":181},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":134,"sell_point":"润康硫酸新霉素滴眼液","title":"金盾润康硫酸新霉素滴眼液 8ml\/瓶\/盒","recommend_reason":{"0":"氨基糖苷类抗生素","1":"主要用于结膜炎、角膜炎等"},"baike_guide_text":"","baike_article_hash_id":"","advword":"犬猫用眼药,结膜炎,角膜炎","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"8ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/3fef720107dfe11388d1e513c8dd1df4.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":42,"max_price":42,"sale_count":465,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-20 18:49:55","updated_at":"2024-11-22 09:17:49","ins":{"id":134,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"硫酸新霉素滴眼液","trade_name":"润康","en_name":"Neomycin sulfate eye drops","brand_name":"金盾","is_prescription":0,"cover":"\/drug\/2020\/12\/10efa15a8475fabac66dd2634272f672.JPG","specification":"8ml\/瓶\/盒","reference_price":60,"component":"硫酸新霉素","indication":"氨基糖苷类抗生素。主要用于结膜炎、角膜炎等。","usage_dosage":"滴眼。","contraindication":"","adverse_reaction":"","attention":"","interaction":"","approval_no":"兽药字(2014)100381525","storage_method":"避光,密封,在常温下保存。","validity":"2年","manufacturer":"南京金盾动物药业有限责任公司","status":1,"created_at":"2020-12-22 19:01:50","updated_at":"2020-12-22 19:01:50"}},"product_sku_info":{"id":832,"product_id":790,"title":"金盾润康硫酸新霉素滴眼液 8ml\/瓶\/盒","advword":null,"price":42,"market_price":60,"cost_price":0,"stock":231,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"8ml"}},"cover":null,"thumb":"","sale_count":492,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-20 18:49:55","updated_at":"2024-11-21 20:07:18"}}},"drug_data_bak":{"0":{"id":130036,"prescription_id":159499,"doctor_user_id":1249218,"product_id":712,"product_sku_id":755,"dose":20,"dose_unit":"mg","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2023-11-21 21:08:44","updated_at":"2023-11-21 21:08:44","product_info":{"id":712,"hash_id":"VjX39W4z2B4Q0bvZ","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":3,"sell_point":"速诺(阿莫西林克拉维酸钾片)50mg","title":"辉瑞速诺(阿莫西林克拉维酸钾片) 50mg×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":"50mg规格1板"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/26f5438f35ed21efc2894dffea9f399f.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":48,"max_price":48,"sale_count":1718,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:50:13","updated_at":"2024-11-21 13:36:29","ins":{"id":3,"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\/46c3ccae52804b92b0e341800e809e95.JPG","specification":"50mg×10片×10板\/盒","reference_price":800,"component":"阿莫西林和克拉维酸钾","indication":"适用于犬猫由敏感细菌引起的各种感染,及治疗犬猫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1-2kg,吃半粒; \n体重3-5kg,吃1粒; \n体重6-9kg,吃2粒;\n体重10-13kg,吃3粒;\n体重14-18kg,吃4粒;\n体重≥19kg,请购买同品250mg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10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":"2020-10-21 13:48:10","updated_at":"2020-10-23 15:55:39"}},"product_sku_info":{"id":755,"product_id":712,"title":"辉瑞速诺(阿莫西林克拉维酸钾片) 50mg×10片\/板","advword":null,"price":48,"market_price":59,"cost_price":0,"stock":9249,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50mg规格1板"}},"cover":null,"thumb":"","sale_count":1808,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:50:13","updated_at":"2024-11-21 22:49:09"}},"1":{"id":130037,"prescription_id":159499,"doctor_user_id":1249218,"product_id":790,"product_sku_id":832,"dose":0.2,"dose_unit":"ml","use_method":"滴眼","frequency":"每天3次","days":7,"number":1,"remark":"","created_at":"2023-11-21 21:08:44","updated_at":"2023-11-21 21:08:44","product_info":{"id":790,"hash_id":"GVbA91xB5egrWoaz","class_ids":{"0":1,"1":2},"category_ids":{"20":181},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":134,"sell_point":"润康硫酸新霉素滴眼液","title":"金盾润康硫酸新霉素滴眼液 8ml\/瓶\/盒","recommend_reason":{"0":"氨基糖苷类抗生素","1":"主要用于结膜炎、角膜炎等"},"baike_guide_text":"","baike_article_hash_id":"","advword":"犬猫用眼药,结膜炎,角膜炎","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"8ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/3fef720107dfe11388d1e513c8dd1df4.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":42,"max_price":42,"sale_count":465,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-20 18:49:55","updated_at":"2024-11-22 09:17:49","ins":{"id":134,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"硫酸新霉素滴眼液","trade_name":"润康","en_name":"Neomycin sulfate eye drops","brand_name":"金盾","is_prescription":0,"cover":"\/drug\/2020\/12\/10efa15a8475fabac66dd2634272f672.JPG","specification":"8ml\/瓶\/盒","reference_price":60,"component":"硫酸新霉素","indication":"氨基糖苷类抗生素。主要用于结膜炎、角膜炎等。","usage_dosage":"滴眼。","contraindication":"","adverse_reaction":"","attention":"","interaction":"","approval_no":"兽药字(2014)100381525","storage_method":"避光,密封,在常温下保存。","validity":"2年","manufacturer":"南京金盾动物药业有限责任公司","status":1,"created_at":"2020-12-22 19:01:50","updated_at":"2020-12-22 19:01:50"}},"product_sku_info":{"id":832,"product_id":790,"title":"金盾润康硫酸新霉素滴眼液 8ml\/瓶\/盒","advword":null,"price":42,"market_price":60,"cost_price":0,"stock":231,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"8ml"}},"cover":null,"thumb":"","sale_count":492,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-20 18:49:55","updated_at":"2024-11-21 20:07:18"}}}}}}
微信扫一扫
立即问宠医