咨询描述:猫咪脖子处有个包,比较明显,猫咪精神正常,吃喝拉撒都挺正常,摸着像胸骨,但是之前好像没有这么明显
问题大致一样,细节不同?
徐灿
执业兽医师
你好家长,我想问一下是什么手感的呢?因为这个位置没有重要的淋巴,就算是淋巴增生,也不会肿起来,是硬硬的吗?还有就是这个位置也不是肋骨的位置,也不是胸骨的位置,我需要问一下,里面是坚实的手感吗?还是说水感比较多一些?
摸着是硬硬的,我摸他也没有挣扎,我使劲按他好像也没有痛感,昨天我摸他他还没反抗,我今天摸多了他会躲
徐灿
执业兽医师
对于这种情况来说,因为比较考虑的就是局部增生,而且它的位置,和这张片子对照一下,看一下增生的这个位置,是不是蓝色点状的这个淋巴的位置。如果是的话,那么可能最重要的就是看一下它是否有炎症,或者说是用药物去逆向排除,先去消炎消肿看一下是否消退。
为保护用户隐私不显示图片/视频
大概是这个位置,看起来鼓鼓的,我不太明白你发的图的位置,如果是增生应该怎么治疗?如果是增生的话他会痛吗?会有什么症状吗
为保护用户隐私不显示图片/视频
是这个位置,不是我手摸着那个位置,我本来想带他去医院的,但是他出门反应特别大,我又害怕他应激
为保护用户隐私不显示图片/视频
徐灿
执业兽医师
那就是了,这个位置是淋巴,很大的可能性是颈后淋巴结增生,对于这种情况来说,一般有两个方案,一个是用一些抗生素和激素,然后口服后逆向排除,然后观察2到3天,如果真的是淋巴的增生,一般会有消退,如果说想直接检查的话,可以直接做炎症反应测试和血常规,看一下是否有感染即可。
如果是增生,对他身体有什么影响?口服什么抗生素和激素?这个位置会有肿瘤吗
徐灿
执业兽医师
肿瘤的话也有可能,但是通常来说,不作为优先考虑。增生的话,肯定会有一定影响,一般来说就是可能会有炎症,或者说是感染,导致的淋巴结增生的比较多,但是他目前来说,吃喝是正常的,所以才建议逆向排除。
然后如果说他应激反应比较强,你可以给他用一些逆向的诊断方案,比如说先给他吃三天左右的抗生素和激素,然后看一下后续效果,我帮你开了方案了,你可以坚持用药。然后用药三天左右回来复诊,看一下是否会有所缩小。
我摸着他那个位置的骨头是和下面的连在一起的,会是胸骨顶端的骨头增生吗?他这个增生如果不治疗会不会越来越严重呀,因为他没啥症状现在,马上过年了,我还找了上门喂猫,也没办法观察😭
徐灿
执业兽医师
一般来说,不太可能是骨头增生造成的,因为骨头增生的话,非常少见,而且他现在没有任何异常,一般来说,他如果吃喝正常的话,那么短时间是安全的,后续的话就是用药物去逆向诊断就行,或者是去做一个炎症反应测试。这样的话最为稳妥。
建议是买一个小摄像头,然后每天都能看到他,这样的话比较好一些,所以说目前损伤比较小的,就是直接做炎症反应测试,或者口服药物逆向诊断比较稳妥一些。
徐灿
执业兽医师
基本上如果真的是淋巴结增生造成的,那么大概三天左右就会有一定的缩小,所以说建议是先服药3到5天,然后回来做个复诊,然后每天拍照对比一下,然后看一下具体情况。
我摸了一下他那个鼓起来的位置就是胸骨的顶端那个位置,然后那里的肉摸着还会有一根一根硌手的感觉,就是感觉那个顶端位置骨头有点大,其他没有摸到单独的包块
为保护用户隐私不显示图片/视频
徐灿
执业兽医师
这个位置不太会有重要的骨头,所以说主要还是考虑淋巴,骨头增生的可能性比较低,如果你特别不放心,可以先做炎症反应测试,还有就是侧位X光片,如果说炎症较高,骨头没问题,再按照上面的方案用药就行,如果想要逆向排除,就直接用药,然后口服一段时间。
行,我先试试,谢谢你,我先用几天药试试,如果是增生话吃药可以消吗?
徐灿
执业兽医师
可以消退的,如果是淋巴增生造成的,那么,使用激素和抗生素之后,绝大部分都是会消退的,但是如果真的是骨头,或者是肿瘤,那么就不会消退,到时候就得拍X光片和做验证反应测试了,然后回头可以回来复诊,然后把化验结果和片子,你都发给我,然后后续我会给出新的建议和方案。
徐灿
执业兽医师
点开查看详情,后面有备注,每公斤是25毫克,一天两次,他是六公斤重,也就是说,每次吃3/5片,然后醋酸***,每公斤一毫克,一天两次,他可以一次吃一片。
徐灿
执业兽医师
感谢您对蘑菇宠医的信任,如果我的回答能够帮助到您,请您在咨询结束后留下5星评论。
后续宠物有其它问题,您可以到“蘑菇宠医”官方微信公众号找到我的医生继续向我提问。
谢谢您的支持和鼓励,祝您的爱宠早日康复!
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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16:00:00"}},"product_sku_info":{"id":752,"product_id":709,"title":"辉瑞速诺(阿莫西林克拉维酸钾片)250mg×10片\/板","advword":null,"price":98,"market_price":119,"cost_price":0,"stock":730,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"250mg规格1板"}},"cover":null,"thumb":"","sale_count":711,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:43:15","updated_at":"2024-11-21 14:19:59"}},"1":{"id":142651,"prescription_id":165278,"doctor_user_id":1296147,"product_id":774,"product_sku_id":816,"dose":1,"dose_unit":"mg","use_method":"口服","frequency":"每天2次","days":14,"number":1,"remark":"每公斤一毫克一天两次","created_at":"2024-01-25 00:38:07","updated_at":"2024-01-25 00:38:07","product_info":{"id":774,"hash_id":"7GDJdPpkE6gWkR6K","class_ids":{"0":1,"1":2},"category_ids":{"0":173},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":63,"sell_point":"摩登狗泼尼松龙 P5 5mg","title":"摩登狗泼尼松龙 P5 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