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
{"622421":{"id":622421,"case_id":68797,"user_id":1296147,"to_user_id":2482906,"type":3,"content":"方案的话,已经帮你开出来了\n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。\n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\n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","media":{"images":{},"videos":{},"business_params":{"prescription_id":165696}},"is_doctor":1,"status":1,"created_at":"2024-01-29 01:00:31","show_rx":true,"rx_info":{"id":165696,"rx_no":2.02401290100285e+24,"user_id":2482906,"doctor_user_id":1296147,"is_independent":0,"case_id":3226461,"pet_info":{"pet_id":432349,"pet_name":"中华田园犬","pet_nickname":"波比","pet_gender":3,"pet_birth":"9-0","pet_weight":15,"pet_vaccination_status":1,"pet_in_insect_repellent_status":0,"pet_out_insect_repellent_status":1,"pet_age_format":"9岁"},"diagnose":"真菌感染","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2024-01-29 01:00:28","updated_at":"2024-01-29 01:00:31","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":143541,"prescription_id":165696,"doctor_user_id":1296147,"product_id":919,"product_sku_id":960,"dose":0.5,"dose_unit":"ml","use_method":"口服","frequency":"每天1次","days":30,"number":1,"remark":"每公斤0.5毫升,一天一次","created_at":"2024-01-29 01:00:28","updated_at":"2024-01-29 01:00:28","product_info":{"id":919,"hash_id":"02EmLAg0w34o1NwW","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":222,"sell_point":"汉肤欣伊曲康唑内服溶液52ml","title":"汉维宠仕汉肤欣伊曲康唑内服溶液52ml\/瓶","recommend_reason":{"0":"用于由大多数的念珠菌属、曲霉菌属、荚膜组织胞浆菌、新型隐球菌等真菌引起的犬猫真菌病的犬猫真菌病"},"baike_guide_text":"","baike_article_hash_id":"","advword":"真菌,皮肤病,猫癣","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"52ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2022\/02\/8cd7a43a887d0a08a06b5201b5314bc9.JPG","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":398,"max_price":398,"sale_count":2,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2022-02-12 17:53:30","updated_at":"2024-01-08 10:31:15","ins":{"id":222,"hash_id":"QKNDzP4DAngewlnv","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"汉肤欣伊曲康唑内服溶液30ml","common_name":"伊曲康唑内服溶液","trade_name":"汉肤欣","en_name":"Comfskin","brand_name":"汉维宠仕","is_prescription":1,"cover":"\/drug\/2022\/02\/e7aea446160fadec59a86523033a32e5.JPG","specification":"30ml\/瓶","reference_price":480,"component":"伊曲康唑","indication":"用于由大多数的念珠菌属、曲霉菌属、荚膜组织胞浆菌、新型隐球菌等真菌引起的犬猫真菌病的犬猫真菌病。","usage_dosage":"因存在个体差异,服用时请遵医嘱。\n以本品计。空腹内服,使用给药器将药液缓慢注入口腔:每1kg体重,犬猫0.5ml,一日1次,连用7日,停药7日为一个周期。一般使用3个周期。","contraindication":"禁止用于肝功能受损的宠物使用\n禁止用于怀孕、哺乳期的宠物","adverse_reaction":"","attention":"推荐按剂量使用,尤其是幼猫不能超剂量使用。\n给药后若出现肝功能损坏,应终止治疗。","interaction":"","approval_no":"兽药字090412950","storage_method":"遮光,密封保存。","validity":"2年","manufacturer":"上海汉维生物医药科技有限公司","status":1,"created_at":"2022-02-12 17:32:48","updated_at":"2022-02-12 17:34:38"}},"product_sku_info":{"id":960,"product_id":919,"title":"汉维宠仕汉肤欣伊曲康唑内服溶液52ml\/瓶","advword":null,"price":398,"market_price":660,"cost_price":0,"stock":98,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"52ml"}},"cover":null,"thumb":"","sale_count":2,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2022-02-12 17:53:30","updated_at":"2024-01-26 09:30:09"}},"1":{"id":143542,"prescription_id":165696,"doctor_user_id":1296147,"product_id":723,"product_sku_id":765,"dose":1,"dose_unit":"ml","use_method":"外喷","frequency":"每天3次","days":14,"number":1,"remark":"一天三次","created_at":"2024-01-29 01:00:28","updated_at":"2024-01-29 01:00:28","product_info":{"id":723,"hash_id":"er8ayRxy25p3mwNv","class_ids":{"0":1,"1":2},"category_ids":{"10":171},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":26,"sell_point":"保灵呋贝舒 盐酸特比萘芬喷剂","title":"保灵呋贝舒 盐酸特比萘芬喷剂 100ml\/瓶\/盒","recommend_reason":{"0":"用于犬、猫各种真菌性皮肤病,如犬小孢子菌、须毛癣菌等"},"baike_guide_text":"","baike_article_hash_id":"","advword":"猫癣,皮肤病,真菌感染","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"100ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2023\/03\/e0b76a03c36100ffd648ddd5efc69811.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":78,"max_price":78,"sale_count":110,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 15:18:53","updated_at":"2024-08-27 09:02:04","ins":{"id":26,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"盐酸特比萘芬喷剂","trade_name":"保特芬","en_name":"Terbinafine Hydrochloride Spray","brand_name":"保灵","is_prescription":0,"cover":"\/drug\/2020\/10\/90ea0d6954bccaa96af9ca7028287729.JPG","specification":"100ml\/瓶\/盒","reference_price":110,"component":"盐酸特比萘芬","indication":"主要用于犬、猫各种真菌性皮肤病,如犬小孢子菌、石膏样小孢子菌、须毛癣菌等引起的皮肤癣菌感染。","usage_dosage":"1.宠物外用,喷于患部,每天2-3次,每次以患部湿润为宜,4周为一疗程。\n2.如出现毛发内真菌,建议联合口服真菌灭片共同治疗。","contraindication":"怀孕和哺乳期禁用","adverse_reaction":"","attention":"1.放置于儿童不可接触的地方。\n2.月龄较小的犬猫建议小量使用。\n3.避免喷入眼鼻部位,避免舔舐或口服。\n4.怀孕和哺乳期禁用。","interaction":"","approval_no":"","storage_method":"常温,避光,密封保存","validity":"2年","manufacturer":"天津市保灵动物保健品有限公司","status":1,"created_at":"2020-10-27 18:39:59","updated_at":"2020-10-27 18:46:15"}},"product_sku_info":{"id":765,"product_id":723,"title":"保灵呋贝舒 盐酸特比萘芬喷剂 100ml\/瓶\/盒","advword":null,"price":78,"market_price":110,"cost_price":0,"stock":33,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"100ml"}},"cover":null,"thumb":"","sale_count":118,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 15:18:53","updated_at":"2024-08-26 19:33:54"}}},"drug_data_bak":{"0":{"id":143541,"prescription_id":165696,"doctor_user_id":1296147,"product_id":919,"product_sku_id":960,"dose":0.5,"dose_unit":"ml","use_method":"口服","frequency":"每天1次","days":30,"number":1,"remark":"每公斤0.5毫升,一天一次","created_at":"2024-01-29 01:00:28","updated_at":"2024-01-29 01:00:28","product_info":{"id":919,"hash_id":"02EmLAg0w34o1NwW","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":222,"sell_point":"汉肤欣伊曲康唑内服溶液52ml","title":"汉维宠仕汉肤欣伊曲康唑内服溶液52ml\/瓶","recommend_reason":{"0":"用于由大多数的念珠菌属、曲霉菌属、荚膜组织胞浆菌、新型隐球菌等真菌引起的犬猫真菌病的犬猫真菌病"},"baike_guide_text":"","baike_article_hash_id":"","advword":"真菌,皮肤病,猫癣","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"52ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2022\/02\/8cd7a43a887d0a08a06b5201b5314bc9.JPG","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":398,"max_price":398,"sale_count":2,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2022-02-12 17:53:30","updated_at":"2024-01-08 10:31:15","ins":{"id":222,"hash_id":"QKNDzP4DAngewlnv","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"汉肤欣伊曲康唑内服溶液30ml","common_name":"伊曲康唑内服溶液","trade_name":"汉肤欣","en_name":"Comfskin","brand_name":"汉维宠仕","is_prescription":1,"cover":"\/drug\/2022\/02\/e7aea446160fadec59a86523033a32e5.JPG","specification":"30ml\/瓶","reference_price":480,"component":"伊曲康唑","indication":"用于由大多数的念珠菌属、曲霉菌属、荚膜组织胞浆菌、新型隐球菌等真菌引起的犬猫真菌病的犬猫真菌病。","usage_dosage":"因存在个体差异,服用时请遵医嘱。\n以本品计。空腹内服,使用给药器将药液缓慢注入口腔:每1kg体重,犬猫0.5ml,一日1次,连用7日,停药7日为一个周期。一般使用3个周期。","contraindication":"禁止用于肝功能受损的宠物使用\n禁止用于怀孕、哺乳期的宠物","adverse_reaction":"","attention":"推荐按剂量使用,尤其是幼猫不能超剂量使用。\n给药后若出现肝功能损坏,应终止治疗。","interaction":"","approval_no":"兽药字090412950","storage_method":"遮光,密封保存。","validity":"2年","manufacturer":"上海汉维生物医药科技有限公司","status":1,"created_at":"2022-02-12 17:32:48","updated_at":"2022-02-12 17:34:38"}},"product_sku_info":{"id":960,"product_id":919,"title":"汉维宠仕汉肤欣伊曲康唑内服溶液52ml\/瓶","advword":null,"price":398,"market_price":660,"cost_price":0,"stock":98,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"52ml"}},"cover":null,"thumb":"","sale_count":2,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2022-02-12 17:53:30","updated_at":"2024-01-26 09:30:09"}},"1":{"id":143542,"prescription_id":165696,"doctor_user_id":1296147,"product_id":723,"product_sku_id":765,"dose":1,"dose_unit":"ml","use_method":"外喷","frequency":"每天3次","days":14,"number":1,"remark":"一天三次","created_at":"2024-01-29 01:00:28","updated_at":"2024-01-29 01:00:28","product_info":{"id":723,"hash_id":"er8ayRxy25p3mwNv","class_ids":{"0":1,"1":2},"category_ids":{"10":171},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":26,"sell_point":"保灵呋贝舒 盐酸特比萘芬喷剂","title":"保灵呋贝舒 盐酸特比萘芬喷剂 100ml\/瓶\/盒","recommend_reason":{"0":"用于犬、猫各种真菌性皮肤病,如犬小孢子菌、须毛癣菌等"},"baike_guide_text":"","baike_article_hash_id":"","advword":"猫癣,皮肤病,真菌感染","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"100ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2023\/03\/e0b76a03c36100ffd648ddd5efc69811.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":78,"max_price":78,"sale_count":110,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 15:18:53","updated_at":"2024-08-27 09:02:04","ins":{"id":26,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"盐酸特比萘芬喷剂","trade_name":"保特芬","en_name":"Terbinafine Hydrochloride Spray","brand_name":"保灵","is_prescription":0,"cover":"\/drug\/2020\/10\/90ea0d6954bccaa96af9ca7028287729.JPG","specification":"100ml\/瓶\/盒","reference_price":110,"component":"盐酸特比萘芬","indication":"主要用于犬、猫各种真菌性皮肤病,如犬小孢子菌、石膏样小孢子菌、须毛癣菌等引起的皮肤癣菌感染。","usage_dosage":"1.宠物外用,喷于患部,每天2-3次,每次以患部湿润为宜,4周为一疗程。\n2.如出现毛发内真菌,建议联合口服真菌灭片共同治疗。","contraindication":"怀孕和哺乳期禁用","adverse_reaction":"","attention":"1.放置于儿童不可接触的地方。\n2.月龄较小的犬猫建议小量使用。\n3.避免喷入眼鼻部位,避免舔舐或口服。\n4.怀孕和哺乳期禁用。","interaction":"","approval_no":"","storage_method":"常温,避光,密封保存","validity":"2年","manufacturer":"天津市保灵动物保健品有限公司","status":1,"created_at":"2020-10-27 18:39:59","updated_at":"2020-10-27 18:46:15"}},"product_sku_info":{"id":765,"product_id":723,"title":"保灵呋贝舒 盐酸特比萘芬喷剂 100ml\/瓶\/盒","advword":null,"price":78,"market_price":110,"cost_price":0,"stock":33,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"100ml"}},"cover":null,"thumb":"","sale_count":118,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 15:18:53","updated_at":"2024-08-26 19:33:54"}}}}}}
微信扫一扫
立即问宠医