Yala dɔgɔtɔrɔ ye nɔgɔ dɔw ye tuma min na a ye aw ɲɛw sɛgɛsɛgɛ wa? An ka Roth Spots ko dɔn.

Yala i delila ka ɲɛ sɛgɛsɛgɛli kɛ, dɔgɔtɔrɔ ye i ɲɛ kɔnɔna lajɛ ni minɛn kɛrɛnkɛrɛnnen ye k’a fɔ ko: “Ne bɛ yɔrɔ fitinin dɔ ye n ɲɛ kɔnɔ” wa? A bɛnnen don ka siran dɔɔni ni i ye o mɛn. Nka, i kana i hakili ɲagami. Nin nɔ ninnu, walima ‘Roth Spots’, ye taamasiɲɛw ye an tɛ deli ka minnu ye ka bɔ kɛnɛma, nka u bɛ se ka kɛ kunnafoni nafamaba ye an ka kɛnɛyako kan. O la sa, an ka kuma nin kan cogo nɔgɔman na ani ni bonya ye bi.

Roth Spots ye mun ye tigitigi?

N’an y’a fɔ cogo nɔgɔman na, Roth nɔw ye joli misɛnniw ye minnu bɛ sɔrɔ an ɲɛ kɔnɔ yɔrɔ la min bɛ se ka sɛgɛsɛgɛ, n’o bɛ wele ko ɲɛda ɲɛkisɛ. Miiri an ɲɛw la i n’a fɔ kamera. O kamera kɔfɛ kogo kan, o fɛn in bɛ yen min bɛ wele ko ɲɛkisɛ. An bɛ fɛn minnu ye, olu jaw bɛ sɛbɛn o yɔrɔ de la.

Joli siraw rezo finmanba dɔ bɛ yen min bɛ jɛnsɛn ɲɛda fan bɛɛ la i n’a fɔ wuluwulu. Ni kun dɔw la joli fitini dɔ bɔra o joli sira dɔ la kelen na, dɔgɔtɔrɔ bɛ o de ye ko Roth nɔ ye.

Min nafa ka bon, o ye ko i tɛ se ka o yɔrɔw ye ni i ye i ɲɛmajɔ filɛlikɛlan na . Wa mɔgɔ wɛrɛ tɛ se k’u ye n’u bɛ i ɲɛw lajɛ dɔrɔn. Walasa k’u ye, aw mago bɛ minɛn kɛrɛnkɛrɛnnen dɔ la, i n’a fɔ lanpan tigɛlen walima ɲɛdimifura, ɲɛdɔgɔtɔrɔ bɛ baara kɛ ni min ye.

A ka ca a la, o nɔ ninnu tɛ nɔ bila aw ka yeli la. Nka a man teli kosɛbɛ, ni o nɔ ninnu bɛ sɔrɔ ɲɛda cɛmancɛ la, yɔrɔ min bɛ wele ko macula, o min b’an dɛmɛ ka ɲɛfɛla yeli kɛ ka ɲɛ, aw bɛ se ka fɛn dɔ yeli yeli la.

O nɔgɔ ninnu bɛ cogo di?

Ni dɔgɔtɔrɔ ye o minɛn lajɛ, a ka c’a la, ɲɛkisɛ kɛnɛman bɛ bɔ i n’a fɔ ɲɛkisɛ jɛman oranjɛ. Roth yɔrɔ dɔ bɛ bɔ kɛnɛ kan o kɔkanna na ni kulɛri dibi ye. O ye yɔrɔ ye min ɲɛ ye bilen dibi ye, a ɲɛ ye maroon ye. Nɔgɔ finman fitinin dɔ bɛ o yɔrɔ in cɛmancɛ la yɛrɛ .

Dɔnniya min bɛ o kɔfɛ, o ka nɔgɔn kosɛbɛ. Dibi yɔrɔ ye joli ye min bɔra jolisira la. Nɔgɔ finman min bɛ cɛmancɛ la, o ye taamasiɲɛ ye min b’a jira ko joli bɔyɔrɔ datugulen don, wa a bɛ ka kɛnɛya daminɛ ka a sababu kɛ an farikolo ka joli segincogo ye (hemostasis). A bɛ i n’a fɔ ka pilatiri da joginda fitinin dɔ kan, o de ye farikolo bɛ min kɛ ka bɔ kɔnɔna na.

Mun na o Roth Spots bɛ kɛ?

Fɔlɔ, san 1800 waatiw la, dɔnnikɛlaw y’a miiri fɔlɔ ko Roth nɔw bɛ sɔrɔ bana dɔ fɛ min bɛ wele ko Infective Endocarditis.'' Nin ye bana ye min bɛ sɔrɔ dusukun kɔnɔ, kɛrɛnkɛrɛnnenya la dusukun tantanni. Nin bana in bɛ se ka sɔrɔ fɛnw fɛ i n’a fɔ banakisɛw ni banakisɛw.

Miiri k’a filɛ, joli kuru misɛnnin minnu bananen don, olu minnu bɛ sɔrɔ o bana in sababu fɛ dusukun na, olu bɛ taa farikolo fan bɛɛ la ni joli ye. Ni u bɛ taa taama na, o joli kurulen bɛ se ka siri joli sira finmanba dɔ la ɲɛ kɔnɔ. O kɔfɛ, o joli sira bɛ pɛrɛn, joli bɛ bɔ, o kɔfɛ, Roth nɔ dɔ bɛ bɔ.

Nka, ɲinini kura y’a jira ko Endocarditis infective dɔrɔn tɛ Roth nɔw sababu ye. Tiɲɛ na, a bɛ kɛ sababu ye ka bana kɛmɛsarada la dɔɔnin dɔrɔn de sɔrɔ, n’o ye 5% ɲɔgɔn ye. Roth nɔw bɛ se ka kɛ furakɛli cogoya caman taamasiɲɛ ye.

An k’o kun dɔw lajɛ ja min bɛ duguma.

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O bɛ furakɛ cogo di?

Min nafa ka bon yan, o ye ko cogo si tɛ yen ka Roth nɔw furakɛ k’a ɲɛsin a yɛrɛ ma barisa a tɛ bana ye, nka a ye bana taamasiɲɛ dɔrɔn de ye.

O la, furakɛli tɛ Roth nɔ yɛrɛ ta ye, nka a kɛra bana basigilen ye min kɛra sababu ye . Misali la, ni o nɔ in sababu bɔra sukarodunbana na min tɛ se ka kunbɛn, dɔgɔtɔrɔ bɛna sukarodunbana furakɛ walasa k’a kunbɛn. Ni a sababu bɔra tansiyɔn jiginni fɛ, a bɛ furakɛ. Ni a sababu bɔra banakisɛ dɔ la, banakisɛfagalanw bɛ di o banakisɛ ma.

Aw ka dɔgɔtɔrɔ bɛna o furakɛcogo ɲuman dɔn. Ni a sababu jugumanba furakɛra ka ɲɛ, o nɔ ninnu bɛ tunu dɔɔni dɔɔni.

Ni a ma furakɛ, mun bɛ kɛ?

Roth nɔw bɛ i n’a fɔ lasɔmini taamasiɲɛ. Hali ni a bɛ se ka kɛ ko nɔ in yɛrɛ tɛ kojuguba kɛ, bana basigilen min bɛ u lase mɔgɔ ma , tuma caman na, o bɛ se ka kɛ kojuguba ye ani farati ye .

Miiri k’a filɛ, ni aw ɲɛdɔgɔtɔrɔ ye nin yɔrɔ in ɲɔgɔn ye, a bɛna aw bila dɔgɔtɔrɔso fɔlɔ la. O kɔ, o dɔgɔtɔrɔ bɛna sɛgɛsɛgɛli wajibiyalenw kɛ (i n’a fɔ joli sɛgɛsɛgɛli, sɛgɛsɛgɛli) walasa k’a dɔn o nɔgɔ ninnu sababu yɛrɛ ye mun ye. Ni a sababu sɔrɔla, a yɛrɛ bɛna furakɛli daminɛ walima ka aw bila dɔgɔtɔrɔso kɛrɛnkɛrɛnnen dɔ fɛ (misali la, dusukunnakow dɔnbaga, kansɛri furakɛla).

O la, ni aw ye yɔrɔ dɔ kɔlɔsi, aw kana aw ɲɛmajɔ o la. O ye cikan nafama ye i farikolo bɛ ka min di i ma. Ni aw ye o cikan lamɛn ani ka dɔgɔtɔrɔ ka fɔta kɛ, aw bɛ se k’o ɲɛnabɔ sani a ka kɛ gɛlɛyaba ye.