王灿
执业兽医师
猫咪主人您好,上述信息已知悉。
我们从照片上很明显的看到他有局部的破溃, 通俗讲就是我们所说的痘痘破掉了。这些位置集中在下巴,我们通俗讲叫做黑下巴。其实其实是毛囊炎的表现,这些黑色的点点是毛囊根部皮肤表面细菌感染引起的。比较严重的就是那个黑色的旁边破溃的地方。随着时间的推移,如果我们不去干预,他可能会出现下巴上一个一个的硬包,然后再出现破溃,造成比较严重的感染。
他可能跟我们平时的饮食习惯或者吃饭喝水用的碗的材质有一定的关系,比如猫粮比较油腻,塑料材质的碗,容易有一些毛尖儿,刺破皮肤引起局部感染。再有就是猫咪的一些行为习惯,喜欢在地上或者毛毯上蹭下巴等等
解决方案相对简单,在没有严重感染的时候,就比如说现在,我们可以用洗脸巾用温水热敷一会儿,然后轻轻的揉搓,每天一次。
我们也可以把下巴上的毛发清理干净,然后表面使用一些抑菌的喷剂或者凝胶,控制表面的细菌感染。
如果很不幸,后期这个地方变得严重了,有明显的出血溃疡,甚至伴随瘙痒。这个时候我们要在上述基础上,给他使用一些口服的消炎药
他那个有点破的地方是我妈用手把黑色的东西揪下来导致的,然后给线下的医生看了图片开了个消炎药,让一次吃半片,但是吃完那个药猫咪一天都没么精神,也不吃东西,就没在给吃了,下午给他擦了点药膏,叫酮**乳膏行吗,那个黑色的地方要用温毛巾给擦掉吗
为保护用户隐私不显示图片/视频
王灿
执业兽医师
这个口服药是可以的,咱们上面写的体重是14公斤,这个体重是真实这个体重是真实的吗?那个乳膏不推荐使用,如果需要的话,您可以参考下面这款
差不多十四斤吧,那个凝胶和喷的药家里都有,那个药吃完猫就不吃饭 精神也不好,是药量大了吗
王灿
执业兽医师
剂量稍微有点高,我可能会推荐您早晚各1/3颗。原则上吃一半也不会造成如此明显的副作用,您可以持续观察到明天看看猫咪的改善
那个药可以不吃吗?每次吃完我都好怕它不吃饭,那天吃完两次要还吐了一次,不知道跟吃药有没有关系,用这个棉片或者清水把上面的药膏擦干净,然后喷**的那个喷剂可以吗
为保护用户隐私不显示图片/视频
王灿
执业兽医师
单纯从上面的照片看,这个还不算比较严重的情况。但是线下医生给您开了口服药,有可能是因为我照片看的不太全面。安全起见,咱们还是要坚持给他用药的。我们可以考虑混着食物一起吃,可以降低消化道的副作用
这个处理方案是可以的,一定要温柔一点,不要剧烈的或用力的揉搓他的皮肤
我刚才又拍了一下它下巴那个地方,这种情况需要吃药吗,因为之前给线下医生也是看的照片,周围还有一点小黑点,能自己好吗,除了喷**还需要擦点什么药吗,每天早晚喷一次吗
为保护用户隐私不显示图片/视频
王灿
执业兽医师
这个仅从照片上看,感觉还好不是特别严重。或许我们可以先简单使用外用药,观察猫咪的改善。如果后期变严重了,这个时候我们是必须要考虑使用口服药的。严重的表现就是红肿破溃,伴随显著的抓挠出血
外用药就是那个**喷剂和**生物酶棉片可以吗,还需要别的外用药吗
王灿
执业兽医师
这些相对来说是足够的。热毛巾敷一会儿再清理,可能效果会更好。我们可以坚持每天一次。
接下来的24小时,您有问题可以随时咨询,看到后会第一时间回复的。
好的好的,谢谢,他这种情况能痊愈吗,上个月给他吃了一袋猫粮是有点油,这个月已经换了烘焙粮,表面没有那么油了,因为猫猫不是很老实,热毛巾大概敷多久比较合适呀。
王灿
执业兽医师
3~5分钟,确实很多猫咪都不太配合,有些时候我们也可以选择一些药用**帮他洗洗下巴。比如***
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
{"628474":{"id":628474,"case_id":69409,"user_id":2452083,"to_user_id":1756435,"type":3,"content":"这个口服药是可以的,咱们上面写的体重是14公斤,这个体重是真实这个体重是真实的吗?那个乳膏不推荐使用,如果需要的话,您可以参考下面这款","media":{"images":{},"videos":{},"business_params":{"prescription_id":165669}},"is_doctor":1,"status":1,"created_at":"2024-01-28 20:20:09","show_rx":true,"rx_info":{"id":165669,"rx_no":2.0240128202005502e+24,"user_id":1756435,"doctor_user_id":2452083,"is_independent":0,"case_id":3226284,"pet_info":{"pet_id":254779,"pet_name":"美国短毛猫","pet_nickname":"肉肉","pet_gender":3,"pet_birth":"2-10","pet_weight":14,"pet_vaccination_status":1,"pet_in_insect_repellent_status":1,"pet_out_insect_repellent_status":0,"pet_age_format":"2岁10个月"},"diagnose":"拟毛囊炎","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2024-01-28 20:20:05","updated_at":"2024-01-28 20:20:09","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":143487,"prescription_id":165669,"doctor_user_id":2452083,"product_id":789,"product_sku_id":831,"dose":1,"dose_unit":"ml","use_method":"涂抹","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2024-01-28 20:20:05","updated_at":"2024-01-28 20:20:05","product_info":{"id":789,"hash_id":"L7kR354mQ24X8V1q","class_ids":{"0":1,"1":2},"category_ids":{"8":169},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":2,"sell_point":"复合溶菌酶抗菌消炎凝胶30g","title":"可鲁复合溶菌酶抗菌消炎凝胶 30g\/支\/盒","recommend_reason":{"0":"用于手术切口、骨折外固定支架伤口等皮肤创口","1":"用于阴囊炎、趾间炎等局部皮肤感染","2":"安放导尿管、鼻饲管时,润滑和抗感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"黑下巴,皮肤病,细菌感染,溢脂性皮炎,脓皮症","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"30g"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/2d5fb6f2345052da66c545c7f216a846.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":68,"max_price":68,"sale_count":284,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-20 18:09:35","updated_at":"2024-11-08 13:36:03","ins":{"id":2,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"复合溶菌酶抗菌凝胶","trade_name":"可鲁凝胶","en_name":"Compound Lysozgme Antibacterial Gel","brand_name":"可鲁","is_prescription":0,"cover":"\/drug\/2020\/10\/a1e373fd288413041f78ef44d47e2da6.JPG","specification":"30g\/支","reference_price":100,"component":"溶葡萄球菌酶、溶菌酶、醋酸氯己定、冰片、甘油等","indication":"1.皮肤创口护理:手术切口、食管插管切口、骨折外固定支架伤口等。\n2.局部皮肤感染:慢性溃疡、阴囊炎、趾间炎、毛囊炎、感染伤口等。\n3.安放导尿管、鼻饲管时,涂抹于导管上,起润滑和抗感染作用。","usage_dosage":"1.创面涂薄薄一层即可,数分钟形成白色保护膜。\n2.每日2-3次涂抹于患处,创面较大需要增加使用频率。\n3.配合可鲁复合溶葡萄球菌酶喷剂使用效果更好,可鲁喷剂喷洒于患处,作用1分钟或自然晾干,可鲁凝胶均匀涂抹于患处。","contraindication":"","adverse_reaction":"","attention":"1.凝胶涂抹后形成保护膜,保护患处,避免接触污染物。\n2.本品需作为原剂使用,切勿用水稀释过后使用。\n3.放置于宠物和儿童接触不到的地方。","interaction":"本品不能与双氧水、高锰酸钾、碘制剂等氧化性物质配伍或合用。","approval_no":"","storage_method":"置于阴凉干燥处保存","validity":"2年","manufacturer":"昆山博青生物科技有限公司","status":1,"created_at":"2020-10-21 13:42:55","updated_at":"2020-10-26 14:35:57"}},"product_sku_info":{"id":831,"product_id":789,"title":"可鲁复合溶菌酶抗菌消炎凝胶 30g\/支\/盒","advword":null,"price":68,"market_price":100,"cost_price":0,"stock":1098,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"30g"}},"cover":null,"thumb":"","sale_count":295,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-20 18:09:35","updated_at":"2024-11-08 12:55:21"}},"1":{"id":143488,"prescription_id":165669,"doctor_user_id":2452083,"product_id":785,"product_sku_id":827,"dose":1,"dose_unit":"ml","use_method":"外喷","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2024-01-28 20:20:05","updated_at":"2024-01-28 20:20:05","product_info":{"id":785,"hash_id":"L6mEd3xG0ypVGQ2W","class_ids":{"0":1,"1":2},"category_ids":{"0":169},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":8,"sell_point":"复合溶菌酶消毒喷剂30ml","title":"可鲁复合溶菌酶消毒喷剂 30ml\/瓶\/盒","recommend_reason":{"0":"动物的皮肤和粘膜消毒"},"baike_guide_text":"","baike_article_hash_id":"","advword":"皮肤病,细菌感染,外伤","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"30ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2023\/03\/b5035dcc45faa6fabd47b50a77ad04ce.png","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":49,"max_price":49,"sale_count":283,"tags":"","sort":0,"status":0,"delete_status":0,"created_at":"2021-12-20 17:27:19","updated_at":"2024-07-30 10:22:33","ins":{"id":8,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"复合溶菌酶消毒喷剂","trade_name":"可鲁喷剂","en_name":"Compound Lysozgme Disinfectant Spray","brand_name":"可鲁","is_prescription":0,"cover":"\/drug\/2020\/10\/c143288e0ecd853448e37d453dc4965e.png","specification":"30ml\/瓶\/盒","reference_price":75,"component":"溶葡萄球菌酶,溶菌酶,醋酸氯已定","indication":"动物的皮肤和粘膜消毒。","usage_dosage":"1.采用本品均匀喷洒于需消毒部位或医用棉球蘸涂,作用5分钟;\n2.或用本品浸湿无菌纱布后湿敷需消毒部位,作用5分钟。","contraindication":"","adverse_reaction":"","attention":"本品不能与双氧水、高锰酸钾、碘制剂等氧化性物质配伍或合用。","interaction":"本品不能与双氧水、高锰酸钾、碘制剂等氧化性物质配伍或合用。","approval_no":"","storage_method":"置于阴凉干燥处保存","validity":"2年","manufacturer":"昆山博青生物科技有限公司","status":1,"created_at":"2020-10-26 15:58:22","updated_at":"2020-10-26 16:06:46"}},"product_sku_info":{"id":827,"product_id":785,"title":"可鲁复合溶菌酶消毒喷剂 30ml\/瓶\/盒","advword":null,"price":49,"market_price":80,"cost_price":0,"stock":502,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"30ml"}},"cover":null,"thumb":"","sale_count":294,"status":0,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-20 17:27:19","updated_at":"2024-07-30 10:22:33"}}},"drug_data_bak":{"0":{"id":143487,"prescription_id":165669,"doctor_user_id":2452083,"product_id":789,"product_sku_id":831,"dose":1,"dose_unit":"ml","use_method":"涂抹","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2024-01-28 20:20:05","updated_at":"2024-01-28 20:20:05","product_info":{"id":789,"hash_id":"L7kR354mQ24X8V1q","class_ids":{"0":1,"1":2},"category_ids":{"8":169},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":2,"sell_point":"复合溶菌酶抗菌消炎凝胶30g","title":"可鲁复合溶菌酶抗菌消炎凝胶 30g\/支\/盒","recommend_reason":{"0":"用于手术切口、骨折外固定支架伤口等皮肤创口","1":"用于阴囊炎、趾间炎等局部皮肤感染","2":"安放导尿管、鼻饲管时,润滑和抗感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"黑下巴,皮肤病,细菌感染,溢脂性皮炎,脓皮症","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"30g"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/2d5fb6f2345052da66c545c7f216a846.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":68,"max_price":68,"sale_count":284,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-20 18:09:35","updated_at":"2024-11-08 13:36:03","ins":{"id":2,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"复合溶菌酶抗菌凝胶","trade_name":"可鲁凝胶","en_name":"Compound Lysozgme Antibacterial Gel","brand_name":"可鲁","is_prescription":0,"cover":"\/drug\/2020\/10\/a1e373fd288413041f78ef44d47e2da6.JPG","specification":"30g\/支","reference_price":100,"component":"溶葡萄球菌酶、溶菌酶、醋酸氯己定、冰片、甘油等","indication":"1.皮肤创口护理:手术切口、食管插管切口、骨折外固定支架伤口等。\n2.局部皮肤感染:慢性溃疡、阴囊炎、趾间炎、毛囊炎、感染伤口等。\n3.安放导尿管、鼻饲管时,涂抹于导管上,起润滑和抗感染作用。","usage_dosage":"1.创面涂薄薄一层即可,数分钟形成白色保护膜。\n2.每日2-3次涂抹于患处,创面较大需要增加使用频率。\n3.配合可鲁复合溶葡萄球菌酶喷剂使用效果更好,可鲁喷剂喷洒于患处,作用1分钟或自然晾干,可鲁凝胶均匀涂抹于患处。","contraindication":"","adverse_reaction":"","attention":"1.凝胶涂抹后形成保护膜,保护患处,避免接触污染物。\n2.本品需作为原剂使用,切勿用水稀释过后使用。\n3.放置于宠物和儿童接触不到的地方。","interaction":"本品不能与双氧水、高锰酸钾、碘制剂等氧化性物质配伍或合用。","approval_no":"","storage_method":"置于阴凉干燥处保存","validity":"2年","manufacturer":"昆山博青生物科技有限公司","status":1,"created_at":"2020-10-21 13:42:55","updated_at":"2020-10-26 14:35:57"}},"product_sku_info":{"id":831,"product_id":789,"title":"可鲁复合溶菌酶抗菌消炎凝胶 30g\/支\/盒","advword":null,"price":68,"market_price":100,"cost_price":0,"stock":1098,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"30g"}},"cover":null,"thumb":"","sale_count":295,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-20 18:09:35","updated_at":"2024-11-08 12:55:21"}},"1":{"id":143488,"prescription_id":165669,"doctor_user_id":2452083,"product_id":785,"product_sku_id":827,"dose":1,"dose_unit":"ml","use_method":"外喷","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2024-01-28 20:20:05","updated_at":"2024-01-28 20:20:05","product_info":{"id":785,"hash_id":"L6mEd3xG0ypVGQ2W","class_ids":{"0":1,"1":2},"category_ids":{"0":169},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":8,"sell_point":"复合溶菌酶消毒喷剂30ml","title":"可鲁复合溶菌酶消毒喷剂 30ml\/瓶\/盒","recommend_reason":{"0":"动物的皮肤和粘膜消毒"},"baike_guide_text":"","baike_article_hash_id":"","advword":"皮肤病,细菌感染,外伤","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"30ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2023\/03\/b5035dcc45faa6fabd47b50a77ad04ce.png","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":49,"max_price":49,"sale_count":283,"tags":"","sort":0,"status":0,"delete_status":0,"created_at":"2021-12-20 17:27:19","updated_at":"2024-07-30 10:22:33","ins":{"id":8,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"复合溶菌酶消毒喷剂","trade_name":"可鲁喷剂","en_name":"Compound Lysozgme Disinfectant Spray","brand_name":"可鲁","is_prescription":0,"cover":"\/drug\/2020\/10\/c143288e0ecd853448e37d453dc4965e.png","specification":"30ml\/瓶\/盒","reference_price":75,"component":"溶葡萄球菌酶,溶菌酶,醋酸氯已定","indication":"动物的皮肤和粘膜消毒。","usage_dosage":"1.采用本品均匀喷洒于需消毒部位或医用棉球蘸涂,作用5分钟;\n2.或用本品浸湿无菌纱布后湿敷需消毒部位,作用5分钟。","contraindication":"","adverse_reaction":"","attention":"本品不能与双氧水、高锰酸钾、碘制剂等氧化性物质配伍或合用。","interaction":"本品不能与双氧水、高锰酸钾、碘制剂等氧化性物质配伍或合用。","approval_no":"","storage_method":"置于阴凉干燥处保存","validity":"2年","manufacturer":"昆山博青生物科技有限公司","status":1,"created_at":"2020-10-26 15:58:22","updated_at":"2020-10-26 16:06:46"}},"product_sku_info":{"id":827,"product_id":785,"title":"可鲁复合溶菌酶消毒喷剂 30ml\/瓶\/盒","advword":null,"price":49,"market_price":80,"cost_price":0,"stock":502,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"30ml"}},"cover":null,"thumb":"","sale_count":294,"status":0,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-20 17:27:19","updated_at":"2024-07-30 10:22:33"}}}}}}
微信扫一扫
立即问宠医