So woayɛ w'ani mu nhwehwɛmu pɛn na oduruyɛfo no de adwinnade soronko bi hwɛɛ w'ani mu na ɔkae sɛ, "Mehu baabi ketewaa bi wɔ m'ani mu"? Ɛyɛ ade a ɛfata sɛ wobɛte ehu nka kakra bere a wote saa no. Nanso mma ɛnhaw wo. Saa nsensanee yi, anaa ‘Roth Spots’, yɛ nsɛnkyerɛnneɛ a yɛntaa nhunu mfiri abɔnten, nanso ɛbɛtumi ayɛ nsɛm a ɛho hia paa wɔ yɛn akwahosan ho. Enti momma yɛnka eyi ho asɛm tiawa ne nidi nnɛ.
Dɛn ankasa ne Roth Spots?
Sɛ yɛbɛka no tiawa a, Roth nsensanee yɛ mogya nketenkete a ɛba yɛn aniwa mu ntini a ɛyɛ mmerɛw a wɔfrɛ no retina no mu. Fa yɛn ani sɛ mfoninitwa afiri. Wɔ saa mfoninitwa afiri no akyi ɔfasu so no, wɔde saa ntini a wɔfrɛ no retina yi wɔ hɔ. Ɛha na wɔkyerɛw nneɛma a yehu no mfonini.
Mogya ntini a ɛyɛ fɛ yiye a ɛtrɛw wɔ retina no nyinaa mu te sɛ akɔre ntaban. Sɛ biribi nti mogya ketewaa bi fi mogya ntini yi biako mu a, ɛno ne nea oduruyɛfo no hu sɛ ɛyɛ Roth nsensanee.
Nea ɛho hia ne sɛ, wuntumi nhu saa nsensanee yi bere a wohwɛ ahwehwɛ mu no . Na obi foforo biara ntumi nhu wɔn bere a wɔhwɛ w’ani kɛkɛ no. Sɛ wopɛ sɛ wuhu wɔn a, wuhia afiri titiriw bi te sɛ kanea a wɔapaapae mu anaa afiri a wɔde hwɛ aniwa so, a aniwa ho oduruyɛfo de di dwuma.
Mpɛn pii no, saa nsensanee yi nnya w’ani so nkɛntɛnso. Nanso, ɛntaa nsi koraa sɛ sɛ saa nsensanee yi ba retina no mfinimfini, ɔfã a wɔfrɛ no macula, a ɛboa yɛn ma yehu yɛn anim tẽẽ a, ebia wubehu nsakrae kakra wɔ w’ani so.
Saa nsensanee yi te dɛn?
Sɛ oduruyɛfo no fa saa adwinnade no mu hwɛ a, mpɛn pii no retina a ɛte apɔw da adi sɛ kɔla a ɛyɛ borɔdɔma-kɔla. Roth beae bi da nsow wɔ akyi yi ho wɔ kɔla tuntum mu. Ɛyɛ beae a ɛyɛ kɔkɔɔ tuntum a ne kɔla yɛ maroon. Dot fitaa ketewaa bi wɔ saa beae yi mfinimfini pɛɛ .
Nyansahu a ɛwɔ eyi akyi no yɛ mmerɛw yiye. Ɔfã a ɛyɛ sum no ne mogya a atu afi ntini no mu no. Dot fitaa a ɛwɔ mfinimfini no yɛ sɛnkyerɛnne a ɛkyerɛ sɛ baabi a mogya tu no ato mu na afi ase resa esiane yɛn nipadua no abɔde mu mogya a ɛtwetwe (hemostasis) nti. Ɛte sɛ nea wɔde plaster bɛhyɛ kuru ketewaa bi so, na ɛno ne nea nipadua no fi mu yɛ.
Dɛn nti na Roth Spots yi ba?
Bere bi a atwam, wɔ 1800 mfe no mu no, nyansahufo dii kan susuwii sɛ tebea bi a wɔfrɛ no ``Infective Endocarditis'' na ɛde Roth nsensanee ba.Eyi yɛ ɔyare mmoawa a ɛba koma no mu, titiriw koma no ntini ahorow no. Nneɛma te sɛ mmoawa ne mmoawa betumi de saa ɔyare mmoawa yi aba.
Fa no sɛ mogya ntini nketenkete a ɔyare mmoawa wom a ɛbae esiane ɔyare mmoawa yi nti wɔ koma no mu no ne mogya no fa nipadua no nyinaa mu. Bere a wɔretu kwan no, mogya a ɛretu yi betumi akɔhyɛ mogya ntini a ɛyɛ fɛ yiye a ɛwɔ aniwa no mu mu. Afei saa mogya ntini no pae, mogya tu, na afei Roth nsensanee bi ba.
Nanso, nhwehwɛmu foforo ada no adi sɛ ɛnyɛ `Infective Endocarditis` nkutoo na ɛde Roth nsensanee ba. Nokwarem no, ɛyɛ nsɛm no mu ɔha biara mu nkyem kakraa bi pɛ, bɛyɛ 5%. Roth nsensanee betumi ayɛ aduruyɛ mu tebea horow a ɛtrɛw kɛse ho sɛnkyerɛnne.
Momma yɛnhwɛ saa ntease ahorow no bi wɔ pon a ɛwɔ ase ha no so.
| Nea ebetumi aba sɛ ɛde ba no fã | Nhwɛso ahorow |
|---|---|
| Mogya mu haw ahorow | Mogya a ɛtɔ mogya, Thrombocytopenia |
| Kokoram ahorow | Tebea horow te sɛ mogya mu kokoram ne multiple myeloma |
| Nyarewa a nipadua no tumi ko tia nyarewa | Nyarewa te sɛ Lupus (SLE), Behçet yare |
| Koma ne mogya a ɛkɔ nipadua no mu no nyarewa | Mogya mmoroso (Hypertension) . |
| Nyarewa a wɔde nyarewa ba | HIV, Toxoplasmosis, Leishmaniasis, ɔyare mmoawa a emu yɛ den a ɛba sẽ ntini mu |
| Nkwammoaa mu nneɛma tebea horow | Asikreyare (Asikreyare a Ɛto so Abien) . |
| Nsɛnnennen a ɛba bere a wɔyem | Tebea horow te sɛ Preeclampsia ne Eclampsia |
| Oxygen a enni nipadua mu (Anoxia) . | Carbon monoxide awuduru, sɛ ɛwɔ mmeae a ɛkorɔn (bɛboro anammɔn 12,000) . |
| Apirakuru a wɔde ma | Ti a opira (Concussions, Traumatic Brain Injuries - TBIs), aniwa mu opira, Shaken baby syndrome |
Ɔkwan bɛn so na wɔsa eyi?
Ade a ɛho hia wɔ ha ne sɛ ɔkwan biara nni hɔ a wɔbɛfa so asa Roth nsensanee tẽẽ efisɛ ɛnyɛ yare, na mmom ɛyɛ yare bi ho sɛnkyerɛnne nkutoo.
Enti, ɛnyɛ Roth nsensanee no ankasa na wɔde sa yare no, na mmom tebea a ɛde bae a ɛde bae no . Sɛ nhwɛso no, sɛ asikreyare a wontumi nni so na ɛde akisikuru no ba a, oduruyɛfo no bɛsa asikreyare no yare de asiw ano. Sɛ mogya mmoroso na ɛde ba a, wɔbɛsa. Sɛ ɔyare mmoawa bi na ɛde ba a, wɔbɛma nnuru a ekum ɔyare mmoawa ama saa ɔyare no.
Wo duruyɛfo na ɔbɛkyerɛ ayaresa a eye sen biara a wɔde bɛyɛ eyi. Sɛ wɔsa nea ɛde ba no yiye a, saa nsensanee yi befi hɔ nkakrankakra.
Sɛ wɔansa wɔn yare a, dɛn na ɛba?
Roth nsensanee te sɛ kɔkɔbɔ sɛnkyerɛnne. Bere a ebia beae no ankasa rempira pii no, tebea a ɛde ba no taa betumi ayɛ nea anibere wom na asiane wom .
Fa no sɛ, sɛ w’ani duruyɛfo hu baabi a ɛte sɛ eyi a, ɔde wo bɛkɔ oduruyɛfo titiriw nkyɛn. Afei, saa oduruyɛfo no bɛyɛ nhwehwɛmu a ɛho hia (te sɛ mogya mu nhwehwɛmu, scan) de ahu nea ɛde saa nsensanee yi ba ankasa. Sɛ wohu nea ɛde ba no wie a, ɔno ankasa befi ase sa yare anaasɛ ɔde wo bɛkɔ oduruyɛfo titiriw bi a ɔfata nkyɛn (e.g., komayare ho ɔbenfo, kokoram ho ɔbenfo).
Enti, sɛ wuhu baabi a ɛyɛ mmerɛw a, mmu w’ani ngu so. Ɛyɛ nkrasɛm a ɛho hia a wo nipadua de rema wo. Sɛ wutie saa nkrasɛm no na woyɛ nea wo duruyɛfo ka a, wubetumi asiesie ansa na abɛyɛ ɔhaw kɛse.
Nkrasɛm a Wɔde Kɔ Fie
- Roth nsensanee yɛ nsensanee bi a ɛda adi wɔ aniwa no mu. Wɔnyɛ yareɛ, na mmom ɛyɛ yareɛ foforɔ ho sɛnkyerɛnne .
- Worentumi mfa ahwehwɛ nhu anaa nte saa nneɛma yi nka. Oduruyɛfo a ɔde nnwinnade soronko di dwuma nkutoo na obetumi ahu wɔn.
- Sɛ wuhu saa nsensanee yi a, ɛkyerɛ sɛ ebia akwahosan ho haw bi wɔ nipadua no mu baabi foforo (e.g. asikreyare, mogya mmoroso, ɔyare mmoawa, kokoram).
- Ade a ɛho hia sen biara ne sɛ woremmɔ hu, kɔ wo duruyɛfo nkyɛn , hu nea ɛde saa nsensanee yi ba ankasa, na woasa.
- Sɛ wɔsa tebea a ɛde ba no wie a, mpɛn pii no Roth nsensanee no ankasa fi hɔ.
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