咨询描述:医生,您好!家里猫咪一只眼睛最近总流泪,大小眼,持续近三周了,一直在用消炎眼药水,但感觉效果不明显。没有打喷嚏流鼻涕的症状,食欲精神头正常。
问题大致一样,细节不同?
陈奕达
执业兽医师
你好,根据上述的信息,我初步分析猫咪是有眼睑发炎问题,但仅仅根据目前信息还不能做出进一步的判断。我还有一些问题需要向你了解一下:
1. 猫咪眼皮内侧,眼白是否发红,有异常?
2. 猫咪是否还有其它症状?
3. 猫咪发病以后,是否有检查?
4. 猫咪从发病到现在,是否有佩戴伊丽莎白圈?如何佩戴的?
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病情,然后帮你进行分析。
1.流眼泪的那只眼皮内侧比正常眼睛眼皮内侧红一些,眼白红血丝多一些。2.到目前没有发现其他症状,最近喝水少一点。3.发病到现在没有去检查,一直在用眼药水,但症状总是时好时坏。4.发病到现在,平时没有戴伊丽莎白圈,仅在滴眼药水它不配合的情况戴上。滴完眼药水就摘下来了。也没有见到它总挠眼睛,平时就是它吃完东西愿意用爪子洗脸的时候会碰到眼镜。
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有眼睑发炎,结膜发炎问题,从而导致了一系列症状。
之所以反复发作,久治不愈,我认为跟没有持续性佩戴伊丽莎白圈,防止抓挠刮蹭眼睛患处有很大关系。
如果暂时不方便就诊检查治疗,可以尝试一下我的方案,在家先给宝贝吃一些宠物专用广谱消炎的口服药,配合宠物专用广谱消炎杀菌滴眼液药水,来进行治疗,观察5-7天的时间。如果有效果,可以持续用药2-3周左右,直到疾病康复为止即可。
稍后我会根据猫咪症状开具一套用药,供你采纳参考一下。
猫咪以前是否有什么用药过敏史?
伊丽莎白圈,需要24小时持续性佩戴,硬质塑料,医疗级别的。
在用的是硫酸***滴眼液。是否对症?另外,24小时戴项圈吃饭咋办?口服消炎药是必须吃的么?单纯点眼药水不行么?
没有过敏史,但小时候6-7个月的时候拉肚子,持续了一段时间,好容易治好的。
陈奕达
执业兽医师
硫酸***滴眼液可以使用,对猫咪现在的疾病问题有帮助。
可以定时拆除伊丽莎白圈喂食。
我的建议是口服,配合滴眼液,效果更好一些。
这边根据xx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,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。所以一定要佩戴伊丽莎白圈,防止抓挠刮蹭眼睛。
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
{"621766":{"id":621766,"case_id":68743,"user_id":1249218,"to_user_id":2478179,"type":3,"content":"硫酸***滴眼液可以使用,对猫咪现在的疾病问题有帮助。\n\n\n可以定时拆除伊丽莎白圈喂食。\n\n\n我的建议是口服,配合滴眼液,效果更好一些。\n\n\n这边根据xx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,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。所以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":164951}},"is_doctor":1,"status":1,"created_at":"2024-01-21 17:03:23","show_rx":true,"rx_info":{"id":164951,"rx_no":2.0240121170320502e+24,"user_id":2478179,"doctor_user_id":1249218,"is_independent":0,"case_id":3222323,"pet_info":{"pet_id":430599,"pet_name":"英国短毛猫","pet_nickname":"鸭梨","pet_gender":1,"pet_birth":"2-8","pet_weight":3,"pet_vaccination_status":0,"pet_in_insect_repellent_status":1,"pet_out_insect_repellent_status":1,"pet_age_format":"2岁8个月"},"diagnose":"拟眼睑发炎,结膜发炎问题","signature":"\/signature\/2021\/12\/c9bc3ee36e7e61a8a6b1d241ce0cd612.png","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2024-01-21 17:03:20","updated_at":"2024-01-21 17:03:23","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":141954,"prescription_id":164951,"doctor_user_id":1249218,"product_id":712,"product_sku_id":755,"dose":30,"dose_unit":"mg","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2024-01-21 17:03:20","updated_at":"2024-01-21 17:03:20","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":9247,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50mg规格1板"}},"cover":null,"thumb":"","sale_count":1810,"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":"2024-11-22 21:33:14"}}},"drug_data_bak":{"0":{"id":141954,"prescription_id":164951,"doctor_user_id":1249218,"product_id":712,"product_sku_id":755,"dose":30,"dose_unit":"mg","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2024-01-21 17:03:20","updated_at":"2024-01-21 17:03:20","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":9247,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50mg规格1板"}},"cover":null,"thumb":"","sale_count":1810,"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":"2024-11-22 21:33:14"}}}}}}
微信扫一扫
立即问宠医