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Transcript

00:00For those of you who have questions, please feel free to ask them in the Q&A section.

00:06Today's topic is how to take care of heart disease and kidney disease in pets.

00:12You can follow us at the Pet Clinic.

00:16FM 919 at the Pet Clinic.

00:20Please meet Dr. Chisanook. Hello, Dr. Chisanook.

00:24Hello.

00:26How to take care of heart disease and kidney disease in pets?

00:30First of all, we have to talk about why we talk about heart disease and kidney disease today.

00:38Actually, both heart disease and kidney disease control our whole body.

00:46Especially kidney disease.

00:50The most important task is to drive out the bad things.

00:56The bad things that it drives out include the body's immune system.

01:02The immune system in the body will cause the heart rate and the electrical system of the whole body to be damaged.

01:16For example, if the liver is damaged, sometimes it drives out potassium.

01:24Potassium is a type of salt that is in the cell.

01:28Sodium is another type of salt that is outside the cell and is in the bloodstream.

01:36When these two are controlled, the heart will beat normally immediately.

01:48The heart actually has its own electrical system.

01:54But there is also a connection to the brain.

02:00Normally, the heart will beat at its own pace.

02:06The brain controls the heart to beat at the right pace.

02:12But if the bloodstream is abnormal, the brain must be the controller.

02:18Potassium is another type of salt that is in the bloodstream.

02:24When we look at the bloodstream, if it is too low, what happens if the potassium is too low?

02:32It causes the death of the first organism.

02:36Eating less food for too long, for too long, for a week.

02:40It is the second organism.

02:42In humans, if the potassium is low, it will be around 3.5 to 4.5.

02:50If the potassium is lower than 3.5, humans can't lift their arms or legs.

02:58Because they don't eat.

03:00But in pets, in dogs and cats, they are still strong.

03:06If the potassium is lower than 3.5, the heart will beat slower.

03:14But if the potassium is lower than 3.5, the heart will beat abnormally.

03:20Sodium is another type of salt.

03:25If we eat too much, the blood pressure will be high.

03:29The kidneys control the blood pressure.

03:32Actually, controlling the blood pressure is not the job of the heart.

03:36It is the job of the kidneys.

03:39The kidneys create many substances to control the blood pressure.

03:44They also control the heartbeat.

03:48If the potassium is too high, the heart will beat faster.

03:54The blood pressure will be higher.

03:58It is caused by the kidneys.

04:02I will talk about the heart and kidneys.

04:09They are related all the time.

04:12The heart and kidneys are related.

04:16Where does the salt come from?

04:21It comes from food.

04:24If the salt is eaten, it is abnormal.

04:28For example, if the doctor wants the food to be delicious, he will add a lot of fish sauce.

04:34If the salt is too much, the kidneys will not be able to control the blood pressure.

04:39The blood pressure will be higher.

04:42The blood vessels in the brain can be damaged.

04:45Or it can cause swelling.

04:48The consequences will follow.

04:52What we have to be careful of is salt.

04:57The salt should not be too salty.

05:00Don't add too much salt.

05:03If the salt is good, it means that the food is good.

05:08The doctor said that the kidneys controlled the salt.

05:12That is what we have to do.

05:16As the doctor said, if you don't eat too much salt,

05:21the potassium will be too low.

05:25It will cause the heart to beat abnormally.

05:28As I said, it reaches a point where the heart is shaking.

05:34When the potassium is too low, the heart shakes.

05:38When the heart shakes, it can't control the beating.

05:42Both the cat and the dog will die.

05:47If there is a problem, the doctor can't help.

05:55They can't give the medicine in time.

06:00In order to balance the two salts,

06:06they need a lot of tools to help.

06:09For example, to stimulate the heart to beat.

06:12They have to add salt little by little to control the beating and kidneys.

06:17It takes at least one week to get back to normal.

06:22The body of the animal can't fight it.

06:26It will die first.

06:28The doctor said that the salt in the food

06:33should not be given when the cat is sick.

06:36It should be taken care of when the cat is young.

06:39When the cat is young,

06:42don't give it too salty food.

06:45Especially when the cat is young,

06:48don't give it too salty food.

06:51It's not food.

06:57It might add too much salt.

07:00It makes the taste strong.

07:03The cat likes it salty.

07:05It's dangerous for the cat.

07:08When you buy food for cats or dogs,

07:12look at the bag.

07:14How many cats can eat a day.

07:17Dogs can eat one bag.

07:20Small dogs can eat two bags.

07:24Cats can eat one bag.

07:27Don't eat too many bags.

07:29You can't eat 10 bags of food.

07:35This is general care.

07:38Taking care of dogs and cats.

07:41Taking care of dogs and cats.

07:44Taking care of dogs and cats.

07:46You can play with the cat.

07:49The cat has a heart disease.

07:53The death rate is lower.

07:56But the cat is almost dead.

07:59The cat is almost dead.

08:03The cat has a special trait.

08:07When the heart beats abnormally,

08:10or the disease occurs,

08:13the cat will sleep.

08:16The cat will die if you don't take care of it.

08:20The cat will die if you don't take care of it.

08:23Exercise is important.

08:27Don't make the cat too fat.

08:32The cat is too fat.

08:35The heart is a substitute.

08:38The blood vessels are longer than cats or dogs.

08:43For example,

08:47the blood vessels are 10 kg.

08:51The blood vessels are 100 meters long.

08:54The blood vessels are 10 kg.

09:00The blood vessels are 10 kg.

09:04The blood vessels are 150 meters long.

09:08When the heart beats,

09:11the blood must reach the end of the blood vessels.

09:15The blood pressure must be higher than normal.

09:19The blood pressure must be higher than normal.

09:23The blood pressure must be higher than normal.

09:26Exercise.

09:29Don't make the cat too fat.

09:32The doctor only gave a simple number.

09:37Control the salt.

09:39Eat protein.

09:41Exercise.

09:44It will help the cat and the dog live longer.

09:48It will help the cat and the dog live longer.

09:51You are 7 years old.

09:57You have kidney disease.

09:59You must control your diet.

10:02What food is good for a kidney disease cat?

10:09What food is good for a kidney disease cat?

10:13Why don't you ask the doctor?

10:47the chicken, because that person can't destroy the urea nitrogen to change to another form,

10:55and the liver won't be able to drive it away. But if the urea nitrogen is high, it will

10:59become a lot of damage, and the liver will work harder. So, if you can avoid the chicken,

11:04avoid the chicken. The protein that is given to the cat with liver disease or the dog with

11:10liver disease, you have to use a high-quality protein. You have to use a high-quality protein.

11:17Okay, you might buy fish meat, and the fish meat should be fresh fish meat, and then steam

11:25it or boil it in boiling water, let it cook just right, and then okay, give them the meat.

11:35That is a high-quality protein for them to eat. That should be helpful.

11:43Actually, there is food for liver disease, but the price is very expensive.

11:48It's expensive, right?

11:49That's right. One kilo is about 800 baht.

11:54It's very expensive, so it's okay.

11:57But if you have the ability to afford it, then buy it.

12:05So you don't have to worry about adding this and that.

12:10It's not too much. Those foods are compared to medicine.

12:14Give it to them and they will eat it. If they are willing to eat, and if they can eat,

12:19they will stand.

12:22You don't have to rely too much on medicine.

12:24But in this case, the price of liver is no more than 3.

12:30It's about 1.7, 1.8 or 2.

12:36You can control the food here.

12:39Do you have to take them to see the doctor often?

12:44Actually, the doctor will make an appointment.

12:48If it's a lot, the doctor will make an appointment.

12:51For a high-quality liver, such as level 3, the doctor may check every 2 weeks.

12:59But if the liver is at level 2, not more than 2,

13:08the doctor may check once.

13:10If the doctor has already checked, in the first 2-3 months,

13:14the price of the liver may be checked once every 3 months.

13:18Okay. It's according to the doctor's appointment, right?

13:21Yes.

13:22Khun Ple asked,

13:24Thai cats like to bite the cloth and eat the cloth.

13:28But they will come out with diarrhea.

13:31Is there any danger to the health of the cat?

13:34It's definitely dangerous.

13:36Yes.

13:37So, we have to clean the cloth.

13:40But if the cat eats the cloth, it will have long fibers.

13:43It will have diarrhea.

13:45Okay.

13:46The fibers are long.

13:48Sometimes, the intestines will be cut into holes.

13:52Okay.

13:53The long fibers may be tied into a hole.

13:57Because the fibers are long.

13:59It may cause a bowel movement.

14:04If the cat has a bowel movement, it will die.

14:09It's dangerous.

14:10So, we have to be careful.

14:12So, we have to clean the cloth.

14:14But normally, if the cat likes this,

14:18what can help is to buy a hairball.

14:22Okay.

14:23The one that protects the hair.

14:26Okay.

14:27Let the cat eat it.

14:29So, it will be smooth.

14:31So, it will be clean.

14:33Don't let it stay in the intestine.

14:36It will be tied to the intestine.

14:39Okay.

14:40So, the hairball is to be careful of the hair.

14:44The cat needs it.

14:45But in Thailand, the cat owners don't understand and don't use it.

14:50Okay.

14:51They like to give the cat to the vet.

14:56They can't take it out.

14:58Okay.

15:04Okay.

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18:51Okay.

18:52Okay.

18:53Okay.

18:54Okay.

18:55But now, when he went to the bedroom, Dr. Vivat said that he didn't prepare any water for him, because he didn't want him to have urinary incontinence. Is this the right way, Dr. Vivat?

19:09Actually, after 8 years of raising him, I can see that he drinks a lot of water. But now, there are signs of urinary incontinence. For example, when he stands in front of the door of the room, his urine will come out. Or when he stands and waits there, even if he doesn't have urinary incontinence, I have to take him out to pee.

19:35It doesn't have to be urinary incontinence, right?

20:05I think that when he is less than 8 years old, it is possible. But when he is older, it may not be possible, right?

20:35So that he won't have kidney disease and kidney stones. Because if he has kidney disease, it will be a big problem. It will cost a lot of money. So we have to be patient. I will take care of him.

20:49I will take him out to pee at 10.00 p.m. and 6.00 a.m.

20:59I would like to know how long can we prevent urinary incontinence at night?

21:10If we prevent it for too long, no matter how many hours, there is a high chance of urinary incontinence and kidney disease.

21:20So if we train him like this since he was a kid, there is a high chance of urinary incontinence.

21:28We have to be careful.

21:30Actually, he knows since he was a kid. When he pees, he will stand and wait.

21:39He will stand and wait. When he opens the door and pees, he will run back in.

21:46So if we look at the western way of raising him, he will make a small door. He can walk in and out.

21:56We invest in making a small door for him to walk in and out.

22:01When he pees, he will walk in and out. He will come in and out without us touching him.

22:08Both sides are happy.

22:11That is what the western people do. So we have to see what they do.

22:19Let's continue with the remaining questions.

22:23Thank you very much.

22:26Thank you.

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