张贝
执业兽医师
为了更好诊治,我需要近一步了解宝贝情况。
1.除了鼻部症状还有其他症状表现吗?
2.期间做过什么检查或者尝试用过什么药?
3.如果有用药,感觉用了之后有没有一点点改善?
4.精神食欲有没有明显异常?
张贝
执业兽医师
两个怀疑的方向,一个是感冒,准确来讲是上呼吸道的感染,但猫咪上呼吸道感染存在很多的病原体,比如常说的猫鼻支属于疱疹病毒,还有杯状支原体衣原体波士杆菌等等,这些病原体对应的治疗方案略有不同,尝试治疗的话可以使用口服的广谱抗生素比如呼吸道感染的一线抗生素**环素和滴鼻液,控制感染缓解鼻腔的症状。第二个是鼻腔异物刺激,比如毛发草芒等等异物意外进去鼻腔,造成鼻粘膜的破损,因为刺激一直打喷嚏,这个需要鼻腔镜的检查确认,以及鼻腔本身结构的改变,鼻中隔的缺损。但第二种情况一般不会造成精神食欲的下降,所以综合考虑呼吸道感染的可能性更高些
张贝
执业兽医师
精神食欲不是越来越差的话,可以尝试用药,按照呼吸道感染的治疗方案,把****换成**环素,因为**环素对支原体衣原体等也有很强的作用效果,抗菌谱更广,使用猫用的滴鼻液,再试试看有没有作用,有效果就不用担心,用药一到两周,症状彻底消失后停药就可以,如果没有改善甚至还有加重的迹象,鼻腔镜以及呼吸道的核酸筛查以及血检都要做一下。期间注意保暖,别吹风,别洗澡,避免接触粉尘或者气味比较大的环境
张贝
执业兽医师
**环素每公斤体重10毫克,一天一次,50毫克一片的药4公斤的猫一次吃五分之四片,随餐或者喂药后喂点水,这个药粘到食道上会损伤食道,不能和乳制品钙质品一起吃,会影响药效。麻***一天两次,每次四毫升,可以增强**环素的抗菌作用,喂药后半小时别喝水。****的滴眼液,可以滴鼻,一天三次,气喘的时候别滴,容易呛到。这些药线下的宠物医院也都有,哪方面哪购买就可以,方便检查就先查再制定治疗方案,不方便的话可以尝试用药,试试有没有改善,有改善就不用担心,没有明显改善或还有加重的迹象及时就诊
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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