猫咪两只耳朵后边都有一点没毛抓得厉害
774次阅读
咨询描述:发现大概一周,用伍德氏灯照了不荧光,两只耳朵后边都有一点没毛,最近它抓脱毛处频繁
问题大致一样,细节不同?
徐灿
执业兽医师
你好,家长,实际上,耳朵后面的话,就不应该优先考虑真菌感染,而是考虑耳螨或者是中耳炎,我需要问一下,耳朵里面干净吗?他是不是只有挠耳朵?是不是不挠其他地方。
这种情况我需要知道它的耳道情况,还有就是最近一段时间是不是老是流眼泪?
小的时候刚拿回家有一点耳螨,然后每天上药就好了,后面耳朵一直很干净 就没怎么给他洗过耳朵
徐灿
执业兽医师
如果是这种情况的话,那么基本上能确定是中耳炎的可能性很高,平时的话,体外驱虫做的多吗?一般来说,这种情况可以给他口服一些抗生素,然后用一些滴耳液,就会有比较明显的改善,但是用药时间估计会很长,可能需要10到15天左右,如果你需要的话,我可以帮你开个方案。
服用抗生素的话,如果不是中耳炎会有什么影响吗?另外滴耳液是起什么作用
徐灿
执业兽医师
滴耳液话,主要也都是抗生素成分的,主要是用于缓解症状,减少他的瘙痒。
然后抗生素的话,一般常规的就行,一般没有太大的副作用,可以选择***类的,而且他的症状也比较明显了,就是耳道内的瘙痒,因为它的耳朵背面,没有荧光反应,而且没有皮屑,同时只有耳朵背面有症状。那就证明瘙痒的位置在耳道的里面。
建议是用药两周以后,然后回来复诊,看一下是否有比较明显的改善,还有就是症状完全消失以后,需要继续用药一周,防止复发。
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
{"627744":{"id":627744,"case_id":69384,"user_id":1296147,"to_user_id":2482798,"type":3,"content":"滴耳液话,主要也都是抗生素成分的,主要是用于缓解症状,减少他的瘙痒。\n然后抗生素的话,一般常规的就行,一般没有太大的副作用,可以选择***类的,而且他的症状也比较明显了,就是耳道内的瘙痒,因为它的耳朵背面,没有荧光反应,而且没有皮屑,同时只有耳朵背面有症状。那就证明瘙痒的位置在耳道的里面。\n建议是用药两周以后,然后回来复诊,看一下是否有比较明显的改善,还有就是症状完全消失以后,需要继续用药一周,防止复发。","media":{"images":{},"videos":{},"business_params":{"prescription_id":165686}},"is_doctor":1,"status":1,"created_at":"2024-01-28 22:16:21","show_rx":true,"rx_info":{"id":165686,"rx_no":2.0240128221556502e+24,"user_id":2482798,"doctor_user_id":1296147,"is_independent":0,"case_id":3226370,"pet_info":{"pet_id":432299,"pet_name":"美国短尾猫","pet_nickname":"喜喜","pet_gender":3,"pet_birth":"3-8","pet_weight":5,"pet_vaccination_status":0,"pet_in_insect_repellent_status":0,"pet_out_insect_repellent_status":0,"pet_age_format":"3岁8个月"},"diagnose":"中耳炎","signature":"","deadline":null,"status":1,"send_status":1,"use_status":1,"created_at":"2024-01-28 22:15:56","updated_at":"2024-01-28 22:29:59","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":143518,"prescription_id":165686,"doctor_user_id":1296147,"product_id":709,"product_sku_id":752,"dose":25,"dose_unit":"mg","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"每公斤25毫克一天两次","created_at":"2024-01-28 22:15:56","updated_at":"2024-01-28 22:15:56","product_info":{"id":709,"hash_id":"lazo6rxWXWpOqD9E","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":5,"sell_point":"速诺(阿莫西林克拉维酸钾片)250mg","title":"辉瑞速诺(阿莫西林克拉维酸钾片)250mg×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":"250mg规格1板"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/0c5606ffe97cfdbe080e7c31980a047d.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":98,"max_price":98,"sale_count":637,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:43:15","updated_at":"2024-10-06 11:21:18","ins":{"id":5,"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\/b4e16954b19120b0d777543dde23b1da.JPG","specification":"250mg×10片×10板\/盒","reference_price":2200,"component":"阿莫西林和克拉维酸钾","indication":"适用于犬由敏感细菌引起的各种感染,及治疗犬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9-12kg,吃0.5片;\n体重13-15kg,吃0.75片;\n体重16-22kg,吃1片;\n体重23-30kg,吃1.5片;\n体重31-40kg,吃2片;\n体重41kg及以上请购买同品500mg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11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":"2020-10-23 12:09:57","updated_at":"2020-10-23 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":770,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"250mg规格1板"}},"cover":null,"thumb":"","sale_count":671,"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":"2024-10-06 01:07:20"}},"1":{"id":143519,"prescription_id":165686,"doctor_user_id":1296147,"product_id":1065,"product_sku_id":1120,"dose":1,"dose_unit":"ml","use_method":"涂抹","frequency":"每天3次","days":14,"number":2,"remark":"一天点耳朵三次,","created_at":"2024-01-28 22:15:56","updated_at":"2024-01-28 22:15:56","product_info":{"id":1065,"hash_id":"X3LOlVplWrxa20WY","class_ids":{"0":1,"1":2},"category_ids":{"19":180},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":271,"sell_point":"新宠之康氟苯尼考甲硝唑滴耳液20ml","title":"新宠之康氟苯尼考甲硝唑滴耳液20ml","recommend_reason":{"0":""},"baike_guide_text":"","baike_article_hash_id":"","advword":"洗耳液,滴耳液.中耳炎.外耳炎.耳螨","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"20ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2023\/06\/ab0f29358bfa86f080db0c9ed21ff606.png","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":24.9,"max_price":24.9,"sale_count":43,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2023-06-12 15:02:16","updated_at":"2024-10-03 09:45:12","ins":{"id":271,"hash_id":"LEd98jx1b3pZaNMK","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"新宠之康氟苯尼考甲硝唑滴耳液20ml","common_name":"滴耳液","trade_name":"氟苯尼考甲硝唑滴耳液","en_name":"Florfenicol and Metronidazole Ear Drops","brand_name":"新宠之康","is_prescription":0,"cover":"\/drug\/2023\/06\/b791dd419d8d0cf4f128818bdf3d2437.png","specification":"20ml","reference_price":24.9,"component":"氟苯尼考、甲硝唑","indication":"抗菌药,用于治疗犬猫细菌性中耳炎、外耳炎","usage_dosage":"一日2次,一次3-4滴,连用5-7日;\n或遵医嘱。","contraindication":"","adverse_reaction":"","attention":"","interaction":"","approval_no":"兽药字221456015","storage_method":"遮光、密封,在凉暗处保存","validity":"2年","manufacturer":"四川德成动物保健品有限公司","status":1,"created_at":"2023-06-12 15:00:32","updated_at":"2023-06-12 15:00:32"}},"product_sku_info":{"id":1120,"product_id":1065,"title":"新宠之康氟苯尼考甲硝唑滴耳液20ml","advword":null,"price":24.9,"market_price":34.9,"cost_price":18,"stock":966,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"20ml"}},"cover":null,"thumb":"","sale_count":48,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2023-06-12 15:02:16","updated_at":"2024-10-02 21:48:38"}}},"drug_data_bak":{"0":{"id":143518,"prescription_id":165686,"doctor_user_id":1296147,"product_id":709,"product_sku_id":752,"dose":25,"dose_unit":"mg","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"每公斤25毫克一天两次","created_at":"2024-01-28 22:15:56","updated_at":"2024-01-28 22:15:56","product_info":{"id":709,"hash_id":"lazo6rxWXWpOqD9E","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":5,"sell_point":"速诺(阿莫西林克拉维酸钾片)250mg","title":"辉瑞速诺(阿莫西林克拉维酸钾片)250mg×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":"250mg规格1板"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/0c5606ffe97cfdbe080e7c31980a047d.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":98,"max_price":98,"sale_count":637,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:43:15","updated_at":"2024-10-06 11:21:18","ins":{"id":5,"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\/b4e16954b19120b0d777543dde23b1da.JPG","specification":"250mg×10片×10板\/盒","reference_price":2200,"component":"阿莫西林和克拉维酸钾","indication":"适用于犬由敏感细菌引起的各种感染,及治疗犬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9-12kg,吃0.5片;\n体重13-15kg,吃0.75片;\n体重16-22kg,吃1片;\n体重23-30kg,吃1.5片;\n体重31-40kg,吃2片;\n体重41kg及以上请购买同品500mg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11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":"2020-10-23 12:09:57","updated_at":"2020-10-23 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":770,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"250mg规格1板"}},"cover":null,"thumb":"","sale_count":671,"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":"2024-10-06 01:07:20"}},"1":{"id":143519,"prescription_id":165686,"doctor_user_id":1296147,"product_id":1065,"product_sku_id":1120,"dose":1,"dose_unit":"ml","use_method":"涂抹","frequency":"每天3次","days":14,"number":2,"remark":"一天点耳朵三次,","created_at":"2024-01-28 22:15:56","updated_at":"2024-01-28 22:15:56","product_info":{"id":1065,"hash_id":"X3LOlVplWrxa20WY","class_ids":{"0":1,"1":2},"category_ids":{"19":180},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":271,"sell_point":"新宠之康氟苯尼考甲硝唑滴耳液20ml","title":"新宠之康氟苯尼考甲硝唑滴耳液20ml","recommend_reason":{"0":""},"baike_guide_text":"","baike_article_hash_id":"","advword":"洗耳液,滴耳液.中耳炎.外耳炎.耳螨","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"20ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2023\/06\/ab0f29358bfa86f080db0c9ed21ff606.png","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":24.9,"max_price":24.9,"sale_count":43,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2023-06-12 15:02:16","updated_at":"2024-10-03 09:45:12","ins":{"id":271,"hash_id":"LEd98jx1b3pZaNMK","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"新宠之康氟苯尼考甲硝唑滴耳液20ml","common_name":"滴耳液","trade_name":"氟苯尼考甲硝唑滴耳液","en_name":"Florfenicol and Metronidazole Ear Drops","brand_name":"新宠之康","is_prescription":0,"cover":"\/drug\/2023\/06\/b791dd419d8d0cf4f128818bdf3d2437.png","specification":"20ml","reference_price":24.9,"component":"氟苯尼考、甲硝唑","indication":"抗菌药,用于治疗犬猫细菌性中耳炎、外耳炎","usage_dosage":"一日2次,一次3-4滴,连用5-7日;\n或遵医嘱。","contraindication":"","adverse_reaction":"","attention":"","interaction":"","approval_no":"兽药字221456015","storage_method":"遮光、密封,在凉暗处保存","validity":"2年","manufacturer":"四川德成动物保健品有限公司","status":1,"created_at":"2023-06-12 15:00:32","updated_at":"2023-06-12 15:00:32"}},"product_sku_info":{"id":1120,"product_id":1065,"title":"新宠之康氟苯尼考甲硝唑滴耳液20ml","advword":null,"price":24.9,"market_price":34.9,"cost_price":18,"stock":966,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"20ml"}},"cover":null,"thumb":"","sale_count":48,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2023-06-12 15:02:16","updated_at":"2024-10-02 21:48:38"}}}}}}
微信扫一扫
立即问宠医