Ua nānā maka paha ʻoe a nānā ke kauka i loko o kou maka me kahi mea hana kūikawā a ʻōlelo maila, "Ke ʻike nei au i kahi kiko liʻiliʻi i loko o koʻu maka"? He mea maʻamau ke manaʻo iki i ka makaʻu ke lohe ʻoe i kēlā. Akā, mai hopohopo. ʻO kēia mau kiko, a i ʻole 'Roth Spots', he mau hōʻailona ia a mākou e ʻike ʻole ai mai waho mai, akā hiki ke lilo i ʻike koʻikoʻi loa e pili ana i ko mākou olakino. No laila, e kamaʻilio kākou e pili ana i kēia me ka maʻalahi a me ke akahai i kēia lā.
He aha nā Roth Spots maoli?
I ka ʻōlelo maʻalahi, ʻo nā kiko Roth he mau kahe koko liʻiliʻi e kū mai ana i loko o ka membrane koʻikoʻi i loko o ko kākou mau maka i kapa ʻia ʻo retina. E noʻonoʻo i ko kākou mau maka e like me ke kāmela. Ma ka paia hope o kēlā kāmela aia kēia membrane i kapa ʻia ʻo retina. Maanei e hoʻopaʻa ʻia ai nā kiʻi o nā mea a kākou e ʻike ai.
Aia kahi pūnaewele lahilahi loa o nā kīʻaha koko i hohola ʻia ma loko o ka retina e like me ka ʻupena o ka nananana. Inā no kekahi kumu e kahe ana kahi kulu koko liʻiliʻi mai kekahi o kēia mau kīʻaha koko, ʻo ia ka mea a ke kauka e ʻike ai he Roth spot.
ʻO ka mea nui, ʻaʻole hiki iā ʻoe ke ʻike i kēia mau kiko ke nānā ʻoe i ke aniani . ʻAʻohe mea ʻē aʻe e ʻike iā lākou ke nānā wale lākou i kou mau maka. No ka ʻike ʻana iā lākou, pono ʻoe i kahi mea kūikawā, e like me ke kukui slit a i ʻole ka ophthalmoscope, kahi a ke kauka maka e hoʻohana ai.
ʻO ka maʻamau, ʻaʻole kēia mau kiko e hoʻopilikia i kou ʻike. Eia nō naʻe, he mea kākaʻikahi loa, inā loaʻa kēia mau kiko ma waenakonu o ka retina, ka ʻāpana i kapa ʻia ʻo ka macula, ka mea e kōkua iā mākou e ʻike pololei i mua, e ʻike paha ʻoe i kahi loli iki i kāu ʻike.
Pehea ke ʻano o kēia mau kiko?
Ke nānā ke kauka ma o kēlā mea hana, ʻike pinepine ʻia kahi retina olakino ma ke ʻano he kala ʻalani-melemele. Kū kahi kiko Roth i waho e kūʻē i kēia kua i kahi kala ʻeleʻele. He wahi ʻulaʻula ʻeleʻele, he ʻulaʻula. Aia kahi kiko keʻokeʻo liʻiliʻi ma waenakonu o kēia wahi.
He maʻalahi loa ke ʻano o ka ʻepekema ma hope o kēia. ʻO ka ʻāpana ʻeleʻele, ʻo ia ke koko i puka mai loko mai o ke aʻa. ʻO ke kiko keʻokeʻo ma waenakonu, he hōʻailona ia ua pani ʻia ke kahua kahe koko a ke hoʻomaka nei e ho'ōla ma muli o ke kaʻina hana koko maoli o ko mākou kino (hemostasis). Ua like ia me ke kau ʻana i kahi palaki ma luna o kahi ʻeha liʻiliʻi, ʻo ia ka mea a ke kino e hana ai mai loko mai.
No ke aha e kū mai ai kēia mau Roth Spots?
I ka wā ma mua, i nā makahiki 1800, ua manaʻo mua nā kānaka ʻepekema ua hoʻokumu ʻia nā kiko Roth e kahi maʻi i kapa ʻia ʻo "Infective Endocarditis." He maʻi kēia e kū mai ana i loko o ka puʻuwai, ʻoiai hoʻi nā valves o ka puʻuwai. Hiki ke hoʻokumu ʻia kēia maʻi e nā mea e like me ka bacteria a me nā virus.
E noʻonoʻo i kēlā mau ʻōpū koko liʻiliʻi i hoʻopili ʻia i hana ʻia ma muli o kēia maʻi i loko o ka puʻuwai e hele a puni ke kino me ke koko. I ko lākou hele ʻana, hiki i kēia ʻōpū koko ke paʻa i loko o kahi kīʻaha koko liʻiliʻi loa i loko o ka maka. A laila pohā kēlā kīʻaha koko, e kahe ana ke koko, a laila hana ʻia kahi kiko Roth.
Eia nō naʻe, ua ʻike ʻia e kahi noiʻi hou ʻaʻole ʻo 'Infective Endocarditis' wale nō ke kumu o nā kiko Roth. ʻO ka ʻoiaʻiʻo, he hapa liʻiliʻi wale nō ia o nā hihia, ma kahi o 5%. Hiki i nā kiko Roth ke hōʻailona o kahi ākea o nā kūlana olakino.
E nānā kākou i kekahi o kēlā mau kumu ma ka papa ma lalo.
| Māhele kumu kūpono | Nā Laʻana |
|---|---|
| Nā maʻi koko | Anemia, Thrombocytopenia |
| Nā maʻi kanesa | Nā kūlana e like me ka Leukemia a me ka Multiple Myeloma |
| Nā maʻi autoimmune | Nā maʻi e like me Lupus (SLE), ka maʻi ʻo Behçet |
| Nā maʻi o ka puʻuwai a me ka ʻōnaehana kahe koko | Ke koko kiʻekiʻe (Hypertension) |
| Nā maʻi | ʻO HIV, Toxoplasmosis, Leishmaniasis, nā maʻi bacteria koʻikoʻi o nā aʻa niho |
| Nā kūlana metabolic | Maʻi diabetes (ʻAno 2 Diabetes) |
| Nā pilikia i ka wā hāpai | Nā kūlana e like me ka Preeclampsia a me ka Eclampsia |
| Ka nele o ka oxygen (Anoxia) | ʻO ka lāʻau make kalapona monoxide, aia ma nā wahi kiʻekiʻe (ma luna o 12,000 kapuaʻi) |
| Nā ʻeha | Nā ʻeha poʻo (Concussions, Traumatic Brain Injuries - TBIs), nā ʻeha maka, Shaken baby syndrome |
Pehea e mālama ʻia ai kēia?
ʻO ka mea nui ma ʻaneʻi, ʻaʻohe ala e mālama pololei ai i nā kiko Roth no ka mea ʻaʻole ia he maʻi, akā he hōʻailona wale nō ia o kahi maʻi.
No laila, ʻaʻole no ka Roth spot ponoʻī ka lāʻau lapaʻau, akā no ke kūlana kumu i hoʻokumu ai . No ka laʻana, inā ua hoʻokumu ʻia ka spot e ka maʻi diabetes i kāohi ʻole ʻia, e mālama ke kauka i ka maʻi diabetes e kāohi iā ia. Inā ua hoʻokumu ʻia e ke koko kiʻekiʻe, e mālama ʻia. Inā ua hoʻokumu ʻia e kahi maʻi, e hāʻawi ʻia nā antibiotics no kēlā maʻi.
Na kāu kauka e hoʻoholo i ka lāʻau lapaʻau maikaʻi loa no kēia. Ke mālama pono ʻia ke kumu kumu, e nalo mālie kēia mau kiko.
He aha ka mea e hana ʻia inā ʻaʻole mālama ʻia?
Ua like nā kiko Roth me kahi hōʻailona hoʻomaopopo. ʻOiai ʻaʻole paha e hōʻeha nui ka kiko ponoʻī, hiki i ke kūlana kumu ke kumu o ia mau mea ke koʻikoʻi a weliweli hoʻi .
E noʻonoʻo, inā ʻike kāu kauka maka i kahi kiko e like me kēia, e kuhikuhi ʻo ia iā ʻoe i kahi mea mālama mua. A laila, e hana kēlā kauka i nā hoʻokolohua e pono ai (e like me nā hoʻokolohua koko, nā scan) e ʻike ai i ke kumu maoli o kēia mau kiko. Ke loaʻa ke kumu, e hoʻomaka ʻo ia i ka mālama ʻana iā ia iho a i ʻole e kuhikuhi iā ʻoe i kahi loea kūpono (e laʻa, cardiologist, oncologist).
No laila, inā ʻike ʻoe i kahi kiko, mai hoʻowahāwahā iā ia. He leka koʻikoʻi ia a kou kino e hāʻawi nei iā ʻoe. Inā ʻoe e hoʻolohe i kēlā leka a hana i ka mea a kāu kauka e ʻōlelo ai, hiki iā ʻoe ke hoʻoponopono iā ia ma mua o ka lilo ʻana i pilikia nui aʻe.
Leka Lawe-Home
- ʻO nā kiko Roth kahi ʻano kiko e kū mai ana i loko o ka maka. ʻAʻole lākou he maʻi, akā he hōʻailona o kahi maʻi ʻē aʻe.
- ʻAʻole hiki iā ʻoe ke ʻike a hoʻopā paha i kēia mau mea me ke aniani. ʻO ke kauka wale nō e hoʻohana ana i nā lako kūikawā ke ʻike iā lākou.
- Inā ʻike ʻoe i kēia mau kiko, ʻo ia hoʻi he pilikia olakino ma nā wahi ʻē aʻe o ke kino (e like me ka maʻi diabetes, ke koko kiʻekiʻe, ka maʻi ʻaʻai, ke kanesa).
- ʻO ka mea nui loa, ʻaʻole e hopohopo, e ʻike i kāu kauka , e ʻike i ke kumu maoli o kēia mau ʻōuli, a mālama iā ia.
- Ke mālama ʻia ke kūlana kumu, e nalo pinepine nā kiko Roth iā lākou iho.
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