咨询描述:皮肤病,应该是会痒,它会自己蹭墙和地毯。一直都有轻微的痒(大半年了),最近一个月突然这样严重起来(如图),全身多处有脱毛,脱毛处有皮屑,少数地方有红疹突起。用了**金方***,有轻微好转
问题大致一样,细节不同?
徐灿
执业兽医师
你好,家长,实际上,从照片上来看,比较考虑的是真菌的感染,就是癣。但是你所用的药物,是治疗外伤感染的,所以药物的选择方面有一点问题,身体其他地方有没有类似的情况?有没有别的不同或者异常的?我需要知道更多的情况,还有就是有没有扩散的地方。
相同的情况背上,臀部,胸口,腹部到处都有,因为太多了所以只拍了两处。
徐灿
执业兽医师
那基本上就能确定了,是真菌的感染,因为扩张的非常的多,而且位置特别多,他这种情况基本上只能口服药物比较好一些,短时间之内是不能洗澡的,因为洗澡的话,容易扩散的更多,需要把患病部位周边的毛发去除。
如果你需要的话,我可以帮你开个常用方案,但是用药时间会很长,估计得20到30天左右,主要是考虑到疾病特性和年龄问题。
1.请问徐医生有什么推荐的口服药物呢,麻烦列出来让我参考一下(还有用药频率)。2.网上及宠物店都推荐一周进行一次药浴,据说可以加快恢复,那么徐医生认为不能洗澡的话,是指不能普通洗浴、可以药浴,还是药浴也不可以呢?3.患处周围毛发是剪短还是剃光呢?患处毛发其实已经掉的差不多了,目前是有点斑秃,建不建议全身剃毛呢?4.我看网上推荐的方案是碘伏+巨利芙畅喷雾+****唑软膏,另外内服****,请问徐医生觉得这个方案可行吗?有什么需要改进的地方呢?
徐灿
执业兽医师
方案的话,已经帮你开出来了
药浴确实是可以加快恢复,但是作用效果没有想象的那么强,再有就是他九岁了,外头的天气,现在是冬天,比较冷,容易感冒,或者是后续的一些问题,再有就是吹不干的话,容易造成加重。稳妥起见,还是先不药浴。
可以把患病周遭的毛发去除,防止进一步扩散,也方便观察,但是不建议全身剃毛,全身剃毛,后续不容易长,他已经9岁了,后续很容易长不出毛来
这个方案总体来说,酮**外用药膏可以用,其他的就未必了,不太好点评
好的,辛苦徐医生了,我还想请问一下,***和***有什么区别呢,都是****,只是性状不同的话价格差好多,狗狗这样的情况可以买稍便宜一些的***吗,还是说一定要***才能解决呢?
徐灿
执业兽医师
他们的实质是一样的,都是****成分,只不过平台上我能开出来的,就只有这个东西,想要替代性使用也没有问题,除了****,盐酸****也能用,就是厂家之类的区别,作用效果我没有对比过,但是成分是一致的。不过我记得***好像是注射液。我记得是蓝色的外包装塑料瓶,然后里头是玻璃瓶的。
网上的***是片状的,您可以看看我上传的图片,这个是可以用的吗?如果可以的话,您建议怎样的用药频率呢?饭前饭后这些需要注意吗?平时还有其他需要注意的吗?
为保护用户隐私不显示图片/视频
徐灿
执业兽医师
我们临床上的用的***是注射针剂,应该是剂型不一样,****的频次都是一天一次,理论上是有效的,十公斤吃一片。一般的正常吃就行,没有什么特别需要注意的。就是短时间之内多晒太阳,别洗澡。
好的,***好像要用一周停一周(网上说的),请问***也需要吗?那目前的方案就是内服****,外用盐酸****喷雾+酮**软膏,多晒太阳不洗澡,还有其他需要注意的吗?上药前需要用碘伏消毒吗?平时有在吃****、钙片、鱼油这些,需要停用吗?
徐灿
执业兽医师
一般来说是需要的,因为它是个老年犬,****,对于肝脏有一定影响,所以最好是隔开用,或者是用一些护肝药物。
一般来说,建议是选择盐酸****喷剂,因为药膏的话容易弄得黏黏糊糊的,也容易舔食。
一般来说,正常的用外用喷剂就行,可以先不用碘酒,鱼油之类的那些补充剂可以正常用,没有太多影响。
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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