Кошки редко проявляют агрессию по отношению к людям. Однако в некоторых случаях реакция животных непредсказуема, и если укусила кошка, что делать в такой ситуации? Чаще всего от укусов котов страдают дети и подростки.
Чем опасен укус кошки?
Основную опасность представляют острые зубы кошек, оставляющие повреждения на коже в виде небольших колотых ран. Может пострадать не только кожа, но и другие близлежащие ткани — мышцы и сухожилия. В организм человека при укусе может проникнуть различная патогенная микрофлора, которая содержится в ротовой полости животного. Вероятность развития инфекции составляет примерно 80 %.
Наибольшую угрозу как для взрослого человека, так и для ребенка несет уличное животное. Бродячим котам приходится питаться птицами, мышами и даже отходами. В слюне зараженных животных содержатся следующие микроорганизмы:
- пастереллы;
- фузобактерии;
- бактероиды;
- стафилококки;
- стрептококки и др.
Пастерелла — один из наиболее распространенных патогенных микроорганизмов. Это возбудитель опасного заболевания, которое быстро распространяется по организму и поражает жизненно важные органы.
При укусе и царапинах от когтей домашнего любимца может развиться лимфоретикулез — доброкачественная патология, болезнь кошачьей царапины. Клиническая картина проявляется после заживления пораженного участка. Возможно развитие менингита или появление лихорадки.
Укусы в лицо, шею, суставы рук или гениталии наиболее опасны, т. к. эти органы имеют большое количество нервных окончаний. По ним и распространяется инфекция, в результате чего может наступить серьезное осложнение. Дети, любящие поиграть с кошками или котятами, находятся в группе риска. Раны медленно заживают, вследствие чего на коже остаются рубцы.
Причины
Причины, почему может укусить кошка:
- наличие заболевания;
- защита территории;
- чувство боли при расчесывании или поглаживании;
- сильный испуг;
- недоверие к человеку;
- защита потомства;
- купание;
- бешенство.
Какие признаки проявляются при укусе?
При укусе кошки проявляются следующие симптомы:
- вокруг ранки появляется покраснение;
- при укусе за шею, палец или лицо возникает опухоль;
- высокая вероятность возникновения сильного и продолжительного кровотечения;
- ухудшение самочувствия;
- повышение температуры, боль в месте укуса.
Реакция человеческого организма на кошачий укус зависит не только от места или глубины. Большое значение имеет и площадь поврежденного участка. Нужно знать все о здоровье кошек, были ли животные привиты, какие микроорганизмы присутствуют в их слюне. Бактерии, попавшие в рану, могут вызвать и такую симптоматику:
- тошнота;
- образование отека;
- развитие гнойного процесса в месте укуса.
Симптомам болезни кошачьих царапин:
- озноб;
- повышение температуры до +40 °С;
- отсутствие аппетита;
- увеличение лимфоузлов, расположенных рядом с укусом;
- плохое самочувствие;
- сильная головная боль.
Примерно через 2 недели состояние больного улучшается, пораженная кожа восстанавливается, однако возможно осложнение — гнойный абсцесс, требующий немедленного хирургического вмешательства.
Укусы уличных котов особенно опасны. В этом случае могут развиться небезопасные инфекции, для которых характерна следующая клиническая картина:
- появление гноя или шишки в месте повреждения;
- сильные тошнота и рвота;
- резкое повышение температуры;
- предобморочное или обморочное состояние;
- возникновение судорог в ногах или руках.
Важно некоторое время понаблюдать за состоянием человека после происшествия. Особенно это касается маленьких детей.
Первая помощь
Оказать первую помощь человеку, которого укусила кошка, желательно сразу. Особенно это касается тех случаев, когда повреждение было нанесено бродячими животными. Перед обращением в больницу необходимо:
- Место раны тщательно промыть водой с хозяйственным мылом. Проводить процедуру желательно в течение 10–15 минут, чтобы попавшие в рану болезнетворные бактерии были удалены.
- Промытую рану обработать раствором перекиси водорода, спиртом или водкой.
- В случае кровотечения его необходимо остановить, используя давящую повязку. Укус кошки в большинстве случаев вызывает капиллярное кровотечение, способствующее вымыванию кошачьей слюны.
- Кожа вокруг раны обрабатывается спиртом, йодом или раствором бриллиантовой зелени.
- На поврежденный участок наносится антибактериальная мазь.
- Во избежание попадания инфекции и загрязнений поврежденный участок закрывается стерильной повязкой.
Если человека укусила домашняя и привитая кошка, а повреждение небольшое, его достаточно обработать антисептиками и наложить стерильную повязку. Если при повреждении пальца его раздувает или опухает рука, скорее всего, это свидетельствует о развитии осложнения в результате близкого расположения суставов и костей. Попавшие туда бактерии вызывают воспаление надкостницы и суставной сумки.
Когда следует обратиться к врачу?
Чтобы избежать возможных осложнений в виде некроза тканей или ампутации конечности, необходимо обратиться в медицинское учреждение. Заниматься самолечением не рекомендуется.
Обращаться к врачу следует и в случае других осложнений:
- большая площадь повреждения;
- многочисленные укусы;
- кровотечение, которое не останавливается в течение 15 минут;
- плохое самочувствие;
- высокая температура;
- появление судорог;
- наличие отечности, покраснения или нагноения в месте укуса;
- укус уличного животного;
- укус в сустав, лицо или шею;
- потеря сознания.
Чтобы не допустить дальнейшего распространения инфекции, к врачу необходимо обращаться в течение 12 часов после происшествия. В таких случаях помогут участковый терапевт, травматолог или инфекционист.
Лечение после укуса
После укуса в течение суток нужно обязательно начать принимать антибиотики. Подбором подходящей медикаментозной терапии занимается врач:
Через 2 суток место повреждения внимательно осматривается — при отсутствии симптоматики инфекционного заражения прием антибиотиков отменяется. В противном случае курс терапии продолжается до конца. Поврежденный участок несколько раз в день обрабатывается антисептиками, пока не исчезнут отечность и воспаление. Противовоспалительные средства помогут снять отечность, болевые ощущения, ускорят заживление.
Для быстрого заживления рекомендуется делать солевые ванночки. В стакане горячей воды растворяется 2 ст. л. соли, а в случае необходимости количество соли увеличивается. Ванночки следует применять 4–5 раз в день. Альтернативой солевым ванночкам могут послужить спиртовые компрессы.
Столбняк и бешенство — основные осложнения, которые могут появиться после укуса кошки. Единственным спасением для человека в таком случае служит немедленная вакцинация.
Народные средства
Вспомогательными лечебными методами могут послужить мази и отвары, приготовленные в домашних условиях. Их преимущество не только в эффективности, но и в доступности. Однако полагаться только на них не стоит, т. к. полноценно избавить от отечности, боли или нагноения народные средства не смогут.
Среди народных средств, эффективно справляющихся с повреждениями после укусов кошек, популярностью пользуются следующие рецепты:
- Сок алоэ. Противовоспалительное и регенерирующее воздействие примочек поможет успокоить воспаление и ускорить процесс заживления.
- Корень частухи. Из корня растения готовятся отвары, порошки, способствующие снятию воспаления и болезненности укусов.
- Отвар гвоздики. Для приготовления настойки необходим стакан горячей воды и 10 бутонов специи. Средство помогает бороться с воспалением и принимается по 1 ст. л. в день.
- Ромашка. Приготовленный из цветков настой — природный антисептик, используется ежедневно для промывания ран.
- Календула. Для приготовления компрессов используется готовая аптечная настойка. Марля смачивается раствором и прикладывается к ране.
Осложнения от укуса кошки
В слюне кошек присутствует множество стафилококков и стрептококков, которые могут стать причиной инфекционного поражения.
Последствия после укуса кошек могут быть самыми плачевными:
- некроз тканей;
- симптомы удушья;
- почечная недостаточность.
Особую опасность такие последствия имеют для людей с сахарным диабетом или ослабленным иммунитетом.
При нападении бродячих животных осложнениями могут стать:
- энцефалит;
- воспаление лимфатических узлов;
- нагноение кости;
- сепсис (заражение крови);
- заражение бешенством или столбняком.
Бешенство — болезнь неизлечимая. Может передаваться даже при отсутствии явных симптомов. Если животное не проявляет признаков бешенства, это не означает, что кошка не заразная. Вирус может уже присутствовать в слюне. Животное желательно поймать и исследовать в лаборатории. Проводится тщательное изучение заболевания кошек, их симптомы. Уколы пострадавшему делаются, а исследование даст понять, продолжать терапию или нет.
Столбняк — болезнь, представляющая опасность для жизни человека. Причина — микроб, обитающий в почве. Противостолбнячная сыворотка вводится сразу после укуса, если человек пострадал от бродячего животного или истек срок действия предыдущей вакцинации (10 лет).
Профилактические меры
Чтобы не пострадать от кошачьего укуса, следует придерживаться простых, но важных правил:
- Не рекомендуется трогать и ласкать бездомных животных. Котята могут быть пушистыми и ласковыми, тогда как взрослые особи представляют особую опасность.
- Существуют породы кошек, не нуждающиеся в ласке.
- У домашних животных обязательно должны быть игрушки, с которыми те будут играть и кусать.
- Нельзя отнимать еду или мешать принимать пищу.
- Если кошка регулярно выходит на улицу, ее следует прививать.
- Кошку нужно воспитывать с раннего возраста, чтобы в дальнейшем не допустить проявления агрессивного поведения по отношению к хозяевам.
- Стоит проводить регулярные профилактические осмотры у ветеринара для исключения развития опасных заболеваний.
Кошка — животное, способное нанести здоровью человека немалый вред, однако, соблюдая правила безопасности, укусов можно избежать.
Трудно встретить владельца домашнего кота или кошки, который хотя бы раз не пострадал от укуса питомца. Безобидное на вид и ласковое создание способно бывает при случае выпустить когти и показать зубки. Как правило, виноваты в этом оказываются сами хозяева или их дети, игнорирующие настроение и желания независимого по своей природе питомца. Раны, нанесенные хищником, порой очень опасны, особенно если дело касается ребенка. Только правильно и своевременно оказанная помощь позволит избежать возможных осложнений.
Чем опасен укус кошки
Травмы, полученные от кошачьих зубов, существенно отличаются от укусов собаки или других, более крупных животных. Несмотря на маленькую площадь поражения, рана получается очень глубокой и закрытой. В результате чего процесс заживления происходит медленно. Кроме того, кошачья слюна содержит множество бактерий, микробов, проникающих во время укуса вглубь тканей и вызывающих воспаление различной степени тяжести. На месте долго заживающей раны образуется рубец.
Серьезными последствиями грозят царапины и укусы, нанесенные больным животным. Важно знать, какие следует принимать меры, если вдруг покусала кошка.
Первая помощь
Как можно раньше проведенная обработка раны поможет избежать негативных последствий и осложнений. Немедленно после укуса необходимо выполнить следующие действия:
- Под струей проточной воды промывать пораженный участок кожи на протяжении 10 минут. Можно использовать при этом хозяйственное мыло.
- Тщательно обработать место укуса перекисью водорода или хлоргексидином, после чего снова промыть.
- При наличии незначительного капиллярного кровотечения, не стоит его останавливать – вместе с кровью происходит удаление из раны агрессивных веществ. Если же кровотечение выражено сильно, необходимо остановить его с помощью давящей повязки.
- Края раны смазать йодом, зеленкой или спиртом. Ни в коем случае нельзя заливать их в глубину тканей.
- Перебинтовать место укуса для защиты раны от попадания пыли.
Не рекомендуется смазывать рану какой-либо мазью, заклеивать ее лейкопластырем. Плотное закупоривание способствует развитию болезнетворного процесса. После проведенной обработки необходимо наблюдать за состоянием раны. При продолжающемся воспалительном процессе придется посетить медицинское учреждение.
Когда необходимо обращаться к врачу
Квалифицированная медицинская помощь требуется в следующих случаях:
- Не удается остановить кровотечение в домашних условиях.
- Когда площадь поражения обширна.
- Если повреждены связки, сустав.
- Укус в область лица или шеи.
- Повышение температуры, ухудшение самочувствия.
- Воспаление прогрессирует, образуется нагноение. Особенно если после того, как укусила кошка, рука опухла и покраснела.
- При укусе уличной кошки или не привитой от бешенства.
Если в течение двух суток признаков инфицирования не наблюдается, лечение медикаментозными средствами не потребуется.
Лечение после укуса
В случае, когда существует подозрение на то, что напавшее животное может быть больным, пострадавшему вводится специальная антирабическая сыворотка с целью предупреждения заражения бешенством. Также делается вакцина против столбняка, при условии, если пациент не получал ее в последние 5 лет. Сыворотка от бешенства вводится неоднократно, через определенный промежуток времени. Подобные профилактические мероприятия позволяют избежать опасных заболеваний, которые порой приводят к летальному исходу.
Помимо этого, назначается курс антибактериальных препаратов с широким спектром действия. Их задача – предотвратить нагноение раны. Чаще всего врачи отдают предпочтение таким средствам, как Амоксициллин, Цефтриаксон, Клавунат. Длительность курса зависит от сроков обращения к врачу и составляет от 5 до 10 дней. Чем раньше начать принимать лекарство с момента получения травмы, тем короче продолжительность лечения.
Зашивают рану только в определенных случаях:
- Если кошка укусила, нанеся очень существенные повреждения кожных покровов.
- Рана находится в области головы.
- С целью остановки кровотечения при травмированных сосудах.
В остальных случаях кошачьи укусы заживают самостоятельно.
Что делать, если после укуса кошки рука опухла, а визит к врачу приходится по каким-либо причинам отложить? Рекомендуется после обработки раны, наложить на пораженный участок повязку, пропитанную мазью Левомеколь и спиртом. Не снимать в течение всего дня. Периодически смачивать бинт спиртом. Открывая поры, он способствует лучшему проникновению Левомеколя. Подобная повязка помогает облегчить состояние пострадавшего до момента получения врачебной помощи.
Народные средства
Помочь в лечении укуса кошки в домашних условиях могут старинные, проверенные временем, рецепты народной медицины. Приготовленные на основе натуральных антисептиков, они эффективны только с целью улучшения самочувствия пациента за счет антимикробного, противовоспалительного и ранозаживляющего действия. К сожалению, с такими заболеваниями, как бешенство, столбняк, подобные средства справиться не в состоянии.
Для обработки раны отлично подходит спиртовая настойка календулы. С большим количеством стафилококковых бактерий, попавшим в рану вместе со слюной животного, способна сразиться настойка хлорофиллипта.
Устранить отек помогут компрессы, ванночки с использованием настоев цветов календулы или ромашки. Такими же заживляющими и антисептическими свойствами обладает лабазник. На рану накладывают измельченные в кашицу листья растения, фиксируя легкой повязкой.
Немало известно рецептов приготовления средств, предназначенных для внутреннего употребления:
- Настой бессмертника. С вечера заварить сухие цветки (столовая ложка сырья на стакан кипятка), настаивать до утра. Процедить и принимать по одной ложке три раза в день. Эффективно снимает воспалительные процессы, ускоряет заживление.
- Смесь из толченых грецких орехов, меда, лука и поваренной соли. Орехи и мед нужно взять по 2 части, лук и соль – по одной и тщательно перемешать. Употреблять полученное средство по одной ложке 3 раза в течение дня, хранить в холодильнике.
- Горец змеиный. Из корневищ этого растения готовят настойку. Измельченное сырье (20г) заливают сухим вином (1 л) и настаивают 8 часов, периодически встряхивая. Принимают небольшими порциями несколько раз в день.
Не стоит забывать, что лечение укуса кошки средствами народной медицины является лишь дополнительным. При малейшем ухудшении состояния пострадавшего необходимо обратиться в лечебное учреждение.
Возможные осложнения
Наиболее опасные последствия, к которым может привести кошачий укус – бешенство и столбняк. Кроме того, возможны инфекционные поражения, вызванные стафилококками, стрептококками, пастереллой и другими патогенными бактериями. Они способны привести к серьезным осложнениям в виде воспалительных процессов в органах дыхания, инфицирования костей и сухожилий, хронической почечной недостаточности, заражения крови.
Более подвержены возникновению подобных проблем люди с ослабленной иммунной системой, страдающие сахарным диабетом, заболеваниями печени и периферических сосудов, алкогольной зависимостью. Таким пациентам нельзя заниматься самолечением, и при укусе кошкой следует немедленно обращаться за врачебной помощью.
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Кошки считаются своенравными животными, способными дать отпор даже хозяину. При укусе в ткани попадает целый букет микроорганизмов, особенно если животное не привито. Не исключено заражение вирусом бешенства, если речь идет об уличном коте. Также может развиться стойкое воспаление, ранка нагнаивается, процесс регенерации затягивается. Если прошло много времени, а заживление не происходит, формируется рубец. Что делать, чтобы избежать осложнений, если укусила кошка? Для начала разберемся, почему животные нападают и как этого избежать.
Кратко о кошках
Кошки остаются распространенными домашними животными, но назвать безопасным соседство с этими хищниками нельзя. Если укусил кот, значит, хозяева переборщили с лаской. Иногда животные заигрываются и тоже пускают зубки в ход, особенно этим грешат котята. Но чаще домашняя кошка кусается из-за стресса.
Другое дело – уличные животные. Стать жертвой бездомного кода можно, если тот собрался перекусить, а ему помешали. Бродячие животные агрессивны, а если укусила и расцарапала кожу уличная кошка, не стоит заниматься самолечением, лучше сразу обратиться к врачу, чтобы исключить возможные инфекции.
Серьезными осложнениями чреват укус зараженной особи, которая через слюну передает вирусы и бактерии человеку. Так, заразиться можно фелинозом, сальмонеллезом, гемабартонеллезом. Особенно опасен вирус бешенства, которым может наградить бездомное животное.
Код МКБ 10
Укус кошки не получил по МКБ 10 конкретного кода, однако международная классификация болезней шифрует укусы млекопитающих одним номером – W55.
Симптомы укуса
Края раны могут быть рваными, но чаще повреждение глубокое и закрытое. Место укуса воспаляется, рядом с проколами обычно присутствуют следы нескольких царапин. Укус кошки чаще приходится на конечности. В больной руке ощущается горение, поднимается температура тела. Из-за возможных возбудителей, присутствующих в крови животного, появляется дополнительная симптоматика, усугубляющая состояние пострадавшего.
Основными признаками кошачьего укуса выступают болезненность и кровоподтеки от проколов зубов. Среди прочих симптомов:
- разливающаяся опухоль,
- гиперемия,
- острое воспаление и образование гнойников,
- лихорадочные состояния.
Кошачьи укусы провоцируют острую местную реакцию. Зона укуса краснеет и опухает, при ощупывании чувствуется уплотнение, кожа в области воспаления горячая. Если рука или нога распухла, немедленно вызывают врача.
Первая помощь
Обработка раны избавит от многих проблем. Можно промыть укус перекисью и замотать бинтом. Кода укусил домашний кот, нет причин сразу же отправляться в больницу. Рану промывают с мылом и обрабатывают любым антисептиком. Нужно сделать повязку, чтобы защитить рану от возможного инфицирования. Обязательно нужно обратиться к врачу, если кот вцепился в шею или лицо, либо животное покусало ребенка.
Первая помощь, когда укусила кошка, предусматривает:
- тщательное промывание – рекомендуется рану после укуса промывать под проточной водой с хозяйственным мелом в течение 7-10 минут, после чего ее можно обработать,
- дезинфекцию – чем можно обработать рану сразу после укуса, так это хлоргексидином и перекисью водорода. Некоторые пострадавшие сразу же заливают перекисью и заматывают бинтом. Однако лучше дождаться подсыхания, и провести повторную антисептическую обработку – на этот раз препаратом с спиртовым составом,
- бинтование – повязку делают только в том случае, если рана глубокая и кровоточит. Стоит ли останавливать кровотечение и делать давящую повязку? Если кошка укусила до крови и началось кровотечение, то что делать не нужно, так это сразу его останавливать. Необходимость наложить повязку появляется после того, как часть крови вместе с возможной инфекцией и механическими загрязнениями выйдет.
Что делать, если кот укусил за руку и после этого она опухла? Рекомендуется принять антигистаминный препарат, обездвижить и охладить травмированную конечность. Если рука сильно болит, принимают анальгетик в стандартной дозировке. Что нельзя делать после укуса кошки, так это заклеивать рану лейкопластырем. Жирные мази и кремы также не используют.
Опасными считаются состояния, если укусил кот, кровотечение не останавливается, посинела и опухла рука или иное место повреждения. Прогрессирующий воспалительный процесс свидетельствует о возможном инфицировании.
Когда укусил домашний кот, а в особенности травмы получены во время игры с котятами (прокусили кожу, оставили царапины), причин для беспокойства нет. Ссадины заживают после обработки антисептиками и не требуют дополнительного лечения. Другое дело – если кошка укусила ребенка. Из-за аллергических реакций возможны отеки, зуд, затрудненность дыхания. Кошка может укусить за палец, и он сразу же опухнет, отечет, появятся признаки острой аллергии.
Лечение
Антибиотики после укуса домашней кошки требуются в исключительных случаях. Обычно лечение укуса ограничивается местной обработкой. При кровоточащей ране используют антисептики и марлевую повязку, далее подключаются антибактериальные мази. Терапию проводят в течение 4-5 дней. Как эффективно лечить укус кошки, подскажет врач. Могут быть назначены противоотечные препараты, а также средства из группы НПВС. Если рана зудит и чешется, рекомендуют антигистаминные препараты.
Чем опасны кошачьи укусы и царапины, так это риском инфицирования. Укушенному может быть назначена прививка от столбняка, при подозрении на бешенство делают соответствующие уколы. Симптомы у человека, зараженного столбнячной палочкой, после укуса кошки возникают только через 7 дней. Вирус бешенства проявляет себя намного позже.
Когда укусила кошка, возникает острое воспаление, даже если животное домашнее. Часто образуется нарыв. Место повреждения болит, наливается гноем, заживает долго. Избежать осложнений в этом случае позволит антибактериальная терапия. Назначают «Эритромицин», «Амоксиклав», «Линкомицин». Пить антибиотики при укусе кошки придется курсом, продолжительность которого определяет врач. Среди антибактериальных препаратов при укусах кошек известен «Бисептол», который лечит бактериальные инфекции кожи и заболевания, вызванные другими условно-патогенными микроорганизмами.
Кошки в домашних условиях часто привиты и не являются переносчиками опасных инфекций. Но если укусила домашняя кошка, лечения все равно не избежать. Лечить кошачьи укусы следует до заживления. Если не вылечить рану до конца, начинается воспаление и нагноение, появляется уплотнение. Причины, объясняющие, почему рана заживает долго и провоцирует сильные реакции, заключаются в обилии микроорганизмов в полости рта животного и на когтях.
Укус черной вдовы
Чем лучше всего лечить укус кошки, так это противомикробными мазями. Какой препарат выбрать, подскажет лечащий врач. Куда обратиться, зависит от сложности травмы. Если это острая боль и место укуса раздуло, едут в дежурную больницу. При незначительном опухании и умеренной симптоматике за медицинской помощью обращаются к врачу по месту проживания. Специалист расскажет, как снять отек, ускорить репарацию и не допустить осложнений. Обычно назначают:
- мазь Вишневского – используется, если рана нагнаивается. Снимает воспаление, отечность,
- синтомициновая мазь – наносится под повязку, улучшает заживление, обеззараживает,
- гепариновая мазь – убирает красноту, рассасывает гематомы на руках и ногах, регулирует деятельность вен. На открытую рану гепариновую мазь не мажут.
Чем лечиться после укуса кошки на этапе заживления? В терапии используется такой препарат, как «Левомеколь». Через сколько наступят улучшения, зависит от глубины раны и личной реакции. Пострадавшему могут быть рекомендованы общая иммунизация и вакцинация по отдельным заболеваниям.
Осложнения и последствия
Часто укус в области лица провоцирует воспалительные заболевания кожи. Если кошка укусила за нос и расцарапала глаза, лечение может быть длительным, а риск осложнений высок. После укуса кота раны заживают долго, что повышает вероятность вторичного инфицирования. Более опасные последствия атаки животного – заражение бешенством или столбняком. Среди возможных возбудителей не только столбняк, но и стрептококки, стафилококки, пастереллы. Заражение крови у кошки может быть бессимптомным – животное способно переносить различные заболевания, не болея ими.
Иногда под кожей образуются уплотнения. Если рана большая и уже зажила, на поверхности остаются грубые рубцы. Среди осложнений, которое развивается чаще, чем другие, — болезнь кошачьих царапин. Если после травмы прошло несколько недель, антибиотики пропиты, рана зарубцевалась, но остались внешние деформации, прибегают к антирубцовым мазям либо пластической хирургии.
Профилактика
Чтобы не укусила кошка, не нужно приставать к животному. Домашнего питомца необходимо своевременно прививать и показывать ветеринару – так, от первых признаков бешенства у животного до летального исхода проходит в среднем 22 дня. Провести анализ можно в течение 15 минут с помощью экспресс-тестов. Также сдают кровь на исследование в лабораторию – в биоматериале удается найти следы различных инфекций: вирусных, хламидийных, микоплазменных и др.
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