徐灿
执业兽医师
你好,家长,实际上,聊天的那个信息描述的比较片面,我不能完全知道意思,需要问一下,他是做了呼吸系统五联测试吗?平时的话,有没有打喷嚏?照片里可以看到有流口水,他的口水是不是发粘?是不是很恶臭?还有就是鼻头有点溃烂,所以考虑杯状病毒是确实要考虑的,但是到现在为止,用过什么药物呢?
还有就是他现在能够正常吃东西吗?我需要知道更多情况。
医生我的宠物和我不在一个城市,没做呼吸系统测试、不打喷嚏、那个不是口水是他刚刚喝了水、没有恶臭、正常吃东西、但是鼻子溃烂这个快一周了、吃了的药不清楚名字、吃了后不太有效果。我想问他这个严重吗?疫苗没打空运风险大吗?应该怎么治疗?异地找人给他喂药这样可以吗?
徐灿
执业兽医师
如果说他不打喷嚏,口水不臭,吃喝正常,而且发现照片里面那个牙龈也没有烂,那么,杯状病毒的可能性有,但是就不那么大了,或者说风险就不那么大了。
药品的话,一般就是抗生素里面有用的多,但是需要核实一下。
需要问一下,你着急给他空运吗?一般不着急,空运的话最好是打完疫苗之后,但是他现在状态也不能打疫苗,因为他现在属于患病状态,因为免疫能力比较强,疫苗注射后效果不好。
异地的话,可以找人喂药,但是最好是能让我看一下猫咪的视频,我想看一下他的精神状态,这个还是比较重要的,然后后续的话,我会给出解决方案。
医生这个可以看出他精神状态吗 寄养店下班了
为保护用户隐私不显示图片/视频
徐灿
执业兽医师
可以,我看到了,基本能确定就是杯状病毒了,只有两次一闪,但是可以看到他的舌头应该是烂了,这种情况只要是能够吃喝的话,状态还是不错的,后续的话,主要是以抗生素,激素和干扰素为主。目前来看,状态是不错的,短时间之内没有太大问题,正常治疗的话,7到10天就能康复。如果你需要的话,我也可以帮你开一个方案
为保护用户隐私不显示图片/视频
好的我需要 那医生等明天寄养店上班了 我让他在仔细给我拍一个 在发给你看看 这个次数可以累计吗 明早再发你确定一下
徐灿
执业兽医师
可以的,没问题,这个次数也是可以增加的,如果没有完全解决问题的话,我可以帮你增加一些次数,这个都是没问题的。
然后帮你开了三个药物,没有开口腔喷剂,因为他现在还是可以吃东西的,然后牙龈没有烂,所以就一个消炎,一个减轻症状,还有一个提高免疫能力的。
后续的话,最好是再找点干扰素,然后每天打一下针,因为杯状病毒,毕竟属于病毒性疾病,加点干扰素效果也比较好。
然后短时间之内没有办法打疫苗,恢复过后一个月以后再打。估计从发病到完全恢复,得7到10天。
医生你在看一下 感觉他咳嗽有点严重 麻烦再给我加个次数 这个严重吗 要输液吗 但是预算太大了大概快三千了 我短时间有点负担不起 方便帮我找一个好的解决方案吗 要是有必要输液我借钱也没事 需要再去做上海医院说的那个一千的基因检查吗 他精神状态目前还行 谢谢医生
徐灿
执业兽医师
咳嗽很严重的话,能不能让我看一下视频?我需要看一下实际情况,他现在是能够吃东西的。那么可以按照上面我帮你开的方案去用药,
如果你经济条件允许的话,可以做呼吸系统五联测试,或者是按照我上面的方案,一般呢,也是可以正常恢复的。
重点是他现在能够正常吃东西,所以一般并不需要输液,重点是要看一下他的咳嗽原因,还有肺部情况,还有就是干扰素的话,最好是打一点儿,
徐灿
执业兽医师
可以的,没问题,我看到,这个在临床上比较常见,因为杯状病毒侵袭的是上呼吸道粘膜,后续的话就会波及其他器官,尤其是肺部波及的比较多。
总体来说状态还可以,这种情况重点是他是否吃喝。如果正常吃喝的话,后续的话,你可以按照上面的方案,然后组合上下面我帮你开的方案,一起用药即可,估计7到10天左右就能恢复。
徐灿
执业兽医师
一般来说需要两天,但是你如果很急的,可以让客服发顺丰。回头我可以把客服的微信给你,或者是你拍完之后告诉我。我再告诉客服一下也可以,因为药品买卖的事情,我处置不了,基本上后天上午应该就能到了。
而且一般来说,这些药物都是必须用的,都是临床上最常用的药物,也是常用方案,同时,用药时间也比较长,所以后续一定要坚持每天用。
再有就是随时保持联系,有新的情况及时联系我,如果状态稳定,持续用药,一周以后回来做个复诊。
医生这个药我预算目前有些不够 你可以开两单给我吗 急用的一单 第二单我过几天在下单
徐灿
执业兽医师
好的,我理解你意思了。我帮你开了一个新的方案补充。那就剔除**。先用**环素,但是再少确实就不太能保证效果了,因为它毕竟是一个病毒性疾病,通常来说都是需要住院或者打针的,只是他目前状态还不错,所以可以口服去治疗。
差的也不多,我明天凑下钱按原方案下单吧,麻烦医生把客服微信发我吧发顺丰。谢谢你。
徐灿
执业兽医师
确实差的不多,只是把两种抗生素削减为一种,因为毕竟是病毒性疾病,病毒性疾病感染之后,会继发细菌性感染,还有就是他现在有咳嗽的症状,如果没有咳嗽的症状,最开始那三个药就行,但是现在他有咳嗽了,就得加药,要不然后续弄成重度肺炎就更麻烦。
然后这个是客服微信,客服同志一般都是在白天的时候在。
为保护用户隐私不显示图片/视频
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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