马亚茜
执业兽医师
根据你讲到的猫黑下巴,我初步判断为猫皮肤病猫痤疮,典型表现是原发性的毛囊角化异常,因为之前有用药记录,为了进一步判断宝贝的情况我还有几个问题需要向你核实一下:
1.这个情况多长时间了,你之前都用的哪些药呢,什么成分。包括口服和外用
2.皮肤藓菌,细菌性脓皮病,马拉色菌病和蠕形螨病也可能引发类似病变,有做过相关排查吗
3.猫咪平时用的什么材质粮碗,有定时清洗吗
4.身上其它地方有皮肤问题吗?平时有清洁下巴局部皮肤吗,用的什么清洗呢
以上情况你回忆后详细的描述给我,感谢你的配合。(若你需要离开本诊室,稍后可以到官方微信公众号“蘑菇宠医”内找到问诊订单继续和我聊天)
1,前两个月出现过,当时不多,我用淡盐水清洗,然后网上买了一只**凝胶涂了一个礼拜就好了,
2,之前不严重,而且猫咪精神状态都挺好,没有去排查
3,不锈钢碗,每天清洗一次
4,身上没有其他问题,下巴平时看挺干净的,就没太注意,这次出现感觉比之前看上去稍微多一点点,这次还是用淡盐水在清洗
马亚茜
执业兽医师
有刚开始的图片和现在复发的图片吗,我看一下病变程度
猫咪有瘙痒,蹭挠下巴吗?近期食物和环境是否有变化
猫咪黑下巴比较常见,如果之前用药有好转本次可以继续使用,一天一次或隔天使用,症状缓解后局部治疗可降至每周2-3次以防止复发。如果后期易反复,应进行皮肤刮片或被毛镜检以进一步检查,根据细胞学决定是否用抗微生物药物,或可能需要同时使用这些药物。对于难治的可使用****软膏,***凝胶,*****等
图片没有,之前就是下巴有点黑点点,这次看上去稍微多一些,像煤渣一样,没有瘙痒挠下巴的情况,上次黑下巴之后换了一个烘焙粮,最近没换,就是减少了猫条冻干这些的量
马亚茜
执业兽医师
饮食方面可以的。局部清洗可以先用你之前的方法按时清理,清理完后保持干燥。也可使用***,泡泡爽,法国诗华黑下巴专用等产品。暂时不需要其它治疗。你可以先尝试一段时间这样做,得到控制。后面还易复发可以再咨询我,或直接进行皮肤检查
我在网上看到说可以用碘伏+***软膏一起涂,治黑下巴很好用,不知道是不是真的,我先给他试试,但是我又怕他舔到嘴里中毒,想问问医生的专业建议
医生你看下我前面的问题呢,我没有次数了,然后看看能不能那么用,有没有啥问题
马亚茜
执业兽医师
有一定效果,***是外用软膏,少量舔食不会有太大问题,不用过度担心,但如果舔的多了可能会有肠胃不适,为了避免过多造成呕吐拉稀精神食欲不好的情况。建议你还是选择专用护理产品呢
马亚茜
执业兽医师
护理产品稍后你可以自主选择在平台内购买,也可以选择在正规药房或者去动物医院咨询购买
马亚茜
执业兽医师
给你发了一个相关药浴产品。清洁的***,奥兹泡泡爽,法国多可素脂乐宝免洗等这些产品暂时缺货,你可在正规药房或动物医院咨询购买
马亚茜
执业兽医师
非常感谢你对蘑菇宠医的信任。如果我的回答能够帮助到你,请你在咨询结束后留下 5 星评价,你的评价是我工作最大的支持,感谢。 后续宠物有其它问题,你可以到“蘑菇宠医”官方微信公众号继续向我提问。
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
{"650385":{"id":650385,"case_id":71598,"user_id":2483801,"to_user_id":2274446,"type":3,"content":"给你发了一个相关药浴产品。清洁的***,奥兹泡泡爽,法国多可素脂乐宝免洗等这些产品暂时缺货,你可在正规药房或动物医院咨询购买","media":{"images":{},"videos":{},"business_params":{"prescription_id":169798}},"is_doctor":1,"status":1,"created_at":"2024-02-29 11:51:20","show_rx":true,"rx_info":{"id":169798,"rx_no":2.02402291145015e+24,"user_id":2274446,"doctor_user_id":2483801,"is_independent":0,"case_id":3249417,"pet_info":{"pet_id":364927,"pet_name":"中华田园猫","pet_nickname":"咪咪猪","pet_gender":4,"pet_birth":"2-8","pet_weight":4,"pet_vaccination_status":1,"pet_in_insect_repellent_status":0,"pet_out_insect_repellent_status":1,"pet_age_format":"2岁8个月"},"diagnose":"猫皮肤病,猫痤疮","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2024-02-29 11:45:01","updated_at":"2024-02-29 11:51:20","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":152203,"prescription_id":169798,"doctor_user_id":2483801,"product_id":739,"product_sku_id":781,"dose":10,"dose_unit":"ml","use_method":"药浴","frequency":"1-3月一次","days":30,"number":1,"remark":"这个是药浴产品,洗澡时用","created_at":"2024-02-29 11:45:01","updated_at":"2024-02-29 11:45:01","product_info":{"id":739,"hash_id":"A2q730gX3P4mwEZP","class_ids":{"0":1,"1":2},"category_ids":{"7":168},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":72,"sell_point":"康泰乐洗必泰全效抗菌香波","title":"维克康泰乐洗必泰全效抗菌香波237ml\/瓶","recommend_reason":{"0":"针对犬猫细菌、真菌性脓皮症","1":"帮助缓解表皮细菌、真菌感染","2":"减少病原在表皮的附着,舒缓表皮炎症"},"baike_guide_text":"","baike_article_hash_id":"","advword":"脓皮症,洗必泰,细菌,真菌感染,表皮炎症","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"237ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/51a04b08eae8bafff08f6e0cc658fc99.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":148,"max_price":148,"sale_count":40,"tags":"","sort":0,"status":0,"delete_status":0,"created_at":"2021-12-17 16:44:14","updated_at":"2024-05-12 09:51:00","ins":{"id":72,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"全效抗菌香波","trade_name":"康泰乐","en_name":"KetoChlor","brand_name":"维克","is_prescription":0,"cover":"\/drug\/2020\/11\/4acc63c922d57e086b09a1f9d310e2ca.JPG","specification":"237ml\/瓶","reference_price":258,"component":"2.3%洗必泰,1%酮康唑","indication":"康泰乐为一款针对犬猫细菌、真菌性脓皮症所设计的全效抗菌香波能帮助缓解表皮细菌、真菌感染,减少病原在表皮的附着,舒缓表皮炎症。","usage_dosage":"1.使用前摇匀。\n2.用温水淋湿犬猫全身。\n3.使用香波,揉搓按摩犬猫,直到泡沫覆盖全身,并使香波停留皮肤至少5-10分钟。\n4.用温水冲洗干净。\n5.再使用一遍香波,重复步骤3。\n6.用温水彻底冲洗干净,冲洗时间至少5-10分钟。\n7.初期每周建议使用2-3次,连续使用4周。待皮肤状况好转后,可减量至每周1次,或遵循医嘱。","contraindication":"","adverse_reaction":"","attention":"仅限动物外用,避免与眼睛或黏膜接触。若动物皮肤出现不良反应,应停用并咨询兽医师。少数人可能会对含有洗必泰的产品产生过敏反应。","interaction":"","approval_no":"","storage_method":"避光保存,储存温度需介于15-30℃之间,并置于儿童无法触及的地方。","validity":"2年","manufacturer":"法国维克有限公司(Virbac)","status":1,"created_at":"2020-11-06 16:27:33","updated_at":"2020-11-06 16:27:33"}},"product_sku_info":{"id":781,"product_id":739,"title":"维克康泰乐洗必泰全效抗菌香波237ml\/瓶","advword":null,"price":148,"market_price":230,"cost_price":0,"stock":56,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"237ml"}},"cover":null,"thumb":"","sale_count":44,"status":0,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 16:44:14","updated_at":"2024-05-12 09:51:00"}}},"drug_data_bak":{"0":{"id":152203,"prescription_id":169798,"doctor_user_id":2483801,"product_id":739,"product_sku_id":781,"dose":10,"dose_unit":"ml","use_method":"药浴","frequency":"1-3月一次","days":30,"number":1,"remark":"这个是药浴产品,洗澡时用","created_at":"2024-02-29 11:45:01","updated_at":"2024-02-29 11:45:01","product_info":{"id":739,"hash_id":"A2q730gX3P4mwEZP","class_ids":{"0":1,"1":2},"category_ids":{"7":168},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":72,"sell_point":"康泰乐洗必泰全效抗菌香波","title":"维克康泰乐洗必泰全效抗菌香波237ml\/瓶","recommend_reason":{"0":"针对犬猫细菌、真菌性脓皮症","1":"帮助缓解表皮细菌、真菌感染","2":"减少病原在表皮的附着,舒缓表皮炎症"},"baike_guide_text":"","baike_article_hash_id":"","advword":"脓皮症,洗必泰,细菌,真菌感染,表皮炎症","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"237ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/51a04b08eae8bafff08f6e0cc658fc99.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":148,"max_price":148,"sale_count":40,"tags":"","sort":0,"status":0,"delete_status":0,"created_at":"2021-12-17 16:44:14","updated_at":"2024-05-12 09:51:00","ins":{"id":72,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"全效抗菌香波","trade_name":"康泰乐","en_name":"KetoChlor","brand_name":"维克","is_prescription":0,"cover":"\/drug\/2020\/11\/4acc63c922d57e086b09a1f9d310e2ca.JPG","specification":"237ml\/瓶","reference_price":258,"component":"2.3%洗必泰,1%酮康唑","indication":"康泰乐为一款针对犬猫细菌、真菌性脓皮症所设计的全效抗菌香波能帮助缓解表皮细菌、真菌感染,减少病原在表皮的附着,舒缓表皮炎症。","usage_dosage":"1.使用前摇匀。\n2.用温水淋湿犬猫全身。\n3.使用香波,揉搓按摩犬猫,直到泡沫覆盖全身,并使香波停留皮肤至少5-10分钟。\n4.用温水冲洗干净。\n5.再使用一遍香波,重复步骤3。\n6.用温水彻底冲洗干净,冲洗时间至少5-10分钟。\n7.初期每周建议使用2-3次,连续使用4周。待皮肤状况好转后,可减量至每周1次,或遵循医嘱。","contraindication":"","adverse_reaction":"","attention":"仅限动物外用,避免与眼睛或黏膜接触。若动物皮肤出现不良反应,应停用并咨询兽医师。少数人可能会对含有洗必泰的产品产生过敏反应。","interaction":"","approval_no":"","storage_method":"避光保存,储存温度需介于15-30℃之间,并置于儿童无法触及的地方。","validity":"2年","manufacturer":"法国维克有限公司(Virbac)","status":1,"created_at":"2020-11-06 16:27:33","updated_at":"2020-11-06 16:27:33"}},"product_sku_info":{"id":781,"product_id":739,"title":"维克康泰乐洗必泰全效抗菌香波237ml\/瓶","advword":null,"price":148,"market_price":230,"cost_price":0,"stock":56,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"237ml"}},"cover":null,"thumb":"","sale_count":44,"status":0,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 16:44:14","updated_at":"2024-05-12 09:51:00"}}}}}}
微信扫一扫
立即问宠医