Ko Takuta Amit Gupta he Nephrologist tino mohio kei Lucknow, Uttar Pradesh, me nga tau 43 o te tohungatanga ki te tirotiro me te whakahaere i nga mate e pa ana ki nga whatukuhu. Ko tana wheako nui me tana whakapau kaha ki te tiaki i nga turoro kua waiho hei ingoa pono mo te mahi nephrology.
Kei a Dr. Gupta he MD i roto i te rongoa, he DNB i roto i te Nephrology, me te FRCP mai i Raanana, e whakaatu ana i te kaha o te matauranga me te tohungatanga haumanu. Ko ia te tohungatanga ki te maimoatanga o te mate whatukuhu mau tonu, te whakahaere whakaheke toto, te whakawhitinga whatukuhu, me era atu mate whatukuhu, e tuku ana i te manaakitanga matawhānui ki ana turoro.
He matatau ki te reo Ingarihi me te Hindi, ka whakarite ia i nga korero whai hua me ana turoro, e whakaatu ana i nga whakamaramatanga mo nga tikanga rongoa me nga whiringa maimoatanga. Ko tana huarahi e arotahi ana ki te manawanui e aro ana ki te taatai moata, te tiaki aukati, me nga rautaki maimoatanga whaiaro hei whakapai ake i nga hua o te manawanui.
Hei tohunga mo Apollomedics Super Specialty Hospitals, ka noho whakatapua a Dr. Amit Gupta ki te whakarato i te tiaki nephrology teitei. Ko tana kaingākau ki te hiranga rongoa me te ako tonu ka waiho ia hei mema tino nui mo te hapori hauora.
Ko ngā tohu whakatūpato wawe ko te ngenge tonu, te pupuhi o ngā pona waewae, o ngā waewae rānei (edema), me ngā panoni o te auau o te mimi, te āhua rānei, pērā i te huka. He maha ngā tūroro e pāngia ana e te ngoikore o te hiahia kai, te kōpeketanga o te uaua, te pupuhi rānei i te taha o ngā kanohi kāore i te mārama.
P: He aha te rerekētanga i waenga i te whara whatukuhu whakapeka me te mate whatukuhu mau tonu (CKD)?
Ko te whara whatukuhu whakapeka he wā ohorere, he wā hoki e taea ai te hoki whakamuri, ka puta i roto i ngā hāora, i ngā rā rānei, i te nuinga o te wā nā te whara, nā te mate kino rānei. Ko te mate whatukuhu mau tonu he ngaronga puhoi, haere tonu o te mahi i roto i ngā marama, i ngā tau rānei, he mea e kore e taea te hoki whakamuri, ā, ka taea te ārai i te hekenga atu.
P: He aha ngā wāhanga o te mate pūkahukahu (CKD), ā, ko tēhea wāhanga e taunakitia ana te dialysis, te whakawhitinga toto rānei?
E rima ngā wāhanga o te mate pūkahukahu (CKD) e whakarōpūtia ana i runga i te tere tātari glomerular (GFR), mai i te Wāhanga 1 (noa) ki te Wāhanga 5 (te ngoikore o te whatukuhu). Ko te tikanga, ka tūtohutia kia tangohia te dialysis, te whakawhitinga whatukuhu rānei ina tae te tūroro ki te Wāhanga 5, e kiia ana ko te Mate Whatukuhu Wāhanga Mutunga (ESRD).
P: He aha te tukanga aromatawai mō te whakawhitinga whatukuhu?
Ka tīmata te tukanga mā te whakamātautau whānui mō te hototahitanga hauora (te momo toto me te taurite kiko) mō te kaituku me te kaiwhiwhi. Kei roto hoki he raupapa aromatawai ngākau, hinengaro, me te hihi-X hei whakarite kei te pai te tinana o te tūroro mō te pokanga me te whakaora mō te wā roa.
P: Me pēhea te tere ake o te kino o te whatukuhu e te mate huka me te toto toto tiketike?
Ka nui te huka toto i te mate huka, ka kino ai ngā wae tātari tairongo (ngā nephron) i roto i te wā, engari ka nui te pēhanga o ngā oko toto iti i roto i ngā whatukuhu e te toto toto tiketike. Ka whara te kiko whatukuhu i ngā āhuatanga e rua, ka tino whakaiti i tōna kaha ki te tātari i ngā para me te wai nui mai i te toto.
P: Ko wai te tohunga whatukuhu tino mātau mō te whakawhitinga whatukuhu i Lucknow?
E mōhiotia whānuitia ana a Ahorangi Tākuta Amit Gupta hei tētahi o ngā tohunga matua o Lucknow, me te neke atu i te 43 tau o ana wheako ki te nephrology me te whakawhitinga whatukuhu. I mua, i a ia e ārahi ana i te tari i SGPGIMS, he paionia ia i roto i ngā maimoatanga motuhake pēnei i te peritoneal dialysis me ngā whakawhitinga whatukuhu matatini.
P: Ka whakahaerehia e Ahorangi Tākuta Amit Gupta ngā koiora o te whatukuhu?
Āe, hei tohunga nephrologist, ka whakahaerehia e ia he koiora whatukuhu hei tātaritanga i ngā mate whatukuhu me te whakatau i te whānuitanga o te kino o te kiko. He wāhanga noa tēnei o tana mahi haumanu hei tautuhi i ngā glomerulonephropathies motuhake me ētahi atu mate whatukuhu.
P: E hia ngā whakawhitinga whatukuhu kua mahia e Ahorangi Tākuta Amit Gupta?
Ahakoa he rerekē ngā tau tika i ia tau, he tino tangata nui a Tākuta Gupta i roto i te mara mō ngā tekau tau, nā te mea i āwhina ia ki te whakatū i tētahi o ngā kaupapa whakawhitinga toto me te dialysis nui rawa atu i Āhia ki te Tonga. Ko tana mahi whānui i ngā whare wānanga rongonui pērā i a SGPGIMS me Apollo ko te tirotiro me te mahi i ngā mano tini o ngā tikanga whakaora ora.
P: He aha ngā mate whatukuhu e rongoatia ana e Ahorangi Tākuta Amit Gupta?
He maha ngā momo mate e rongoatia ana e Tākuta Gupta, tae atu ki te mate tākihi mau tonu, te mate pūkahukahu, te ngoikore o te tākihi, me te mate tākihi mate huka. He tohunga anō hoki ia ki ngā tikanga dialysis motuhake (Hemodialysis me te CAPD) me te whakahaere i te pehanga ārai mate i muri i te whakawhitinga toto.
P: Me pēhea taku whakarite i tētahi hui tirotiro nephrology ki a Ahorangi Tākuta Amit Gupta i Apollo Hospitals Lucknow?
Ka taea te whakarite i ngā kōrero mā te paetukutuku mana o ngā Hōhipera Apollo mā te whiriwhiri i te whare hauora o Lucknow. Ka taea hoki e koe te whakapā atu ki te Hōhipera Apollomedics Super Speciality ki te whakarite i tētahi aromatawai haumanu kanohi ki te kanohi.
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